Individual provider · Type 1 NPI

Samantha Ann Pruitt-Johnson

Mental Health Counselor · St. Louis Park, MN

NPI number 1750987749 Active

Practice location

3800 Park Nicollet Blvd
St. Louis Park, MN 55416-2527

Call (952) 993-2498 Map

Fax (952) 993-2505

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Other practice locations

  • 2030 Rahn Way, Eagan, MN 55122-2300 · (651) 529-1960

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1750987749

Samantha Ann Pruitt-Johnson's National Provider Identifier is 1750987749, issued on Dec 7, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Louis Park, MN. The record was last updated on Jun 29, 2022.