Dr. Jan M Johnson
Counseling Psychologist Clinical Child & Adolescent Psychologist
4123 E Lake St
Minneapolis
, Minnesota 55406-2255
Dr. Jan M Johnson
Counseling Psychologist Clinical Child & Adolescent Psychologist
4123 E Lake St
Minneapolis
, Minnesota 55406-2255
(218) 728-4404
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About
Features
Specialties
- Counseling Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jan M Johnson
- 1401 East First Street
- Duluth, MN
- Zip : 55805
- Fax : (218) 728-4404
- Phone : (218) 728-4404
Second Address
- Dr. Jan M Johnson
- 4123 E Lake St
- Minneapolis, MN
- Zip : 55406-2255
- Fax : (612) 729-2616
- Phone : (612) 729-0340
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TC1900X | Counseling Psychologist | ||
| Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
National Provider Identifier
| NPI | 1043547227 |
|---|---|
| Provider Name | Dr. Jan M Johnson |
| First Address | Duluth, MN 55805 |
| Second Address | Minneapolis, MN 55406-2255 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/11/2009 |
| Last Update Date | 24/05/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.