Individual provider · Type 1 NPI

Matthew Johnson, MA LPCC

Professional Counselor · Minneapolis, MN

NPI number 1265764641 Active

Practice location

219 SE Main St Ste 400
Minneapolis, MN 55414

Fax (612) 886-2538

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC00100 (MN)

Professional Counselor: Definition to come...

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About NPI 1265764641

Matthew Johnson, MA LPCC's National Provider Identifier is 1265764641, issued on Feb 9, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 12, 2018.