Heather J Johnson
Counseling Psychologist Addiction Psychologist (Substance Use Disorder)
4601 Excelsior Blvd Ste 411
St Louis Park
, Minnesota 55416-4977
Heather J Johnson
Counseling Psychologist Addiction Psychologist (Substance Use Disorder)
4601 Excelsior Blvd Ste 411
St Louis Park
, Minnesota 55416-4977
(612) 294-9458
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Heather J Johnson
- 4601 Excelsior Blvd Ste 411
- Minneapolis, MN
- Zip : 55416-4977
- Phone : (612) 294-9458
Second Address
- Heather J Johnson
- 4601 Excelsior Blvd Ste 411
- St Louis Park, MN
- Zip : 55416-4977
- Phone : (612) 294-9458
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
| Y | 103TC1900X | Counseling Psychologist | 5388 | MN |
National Provider Identifier
| NPI | 1053631622 |
|---|---|
| Provider Name | Heather J Johnson |
| First Address | Minneapolis, MN 55416-4977 |
| Second Address | St Louis Park, MN 55416-4977 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2010 |
| Last Update Date | 11/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 174658000 | (05) | MN |
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.