| Mr Clinton Gabriel Johnson Jr, | |
|
1821 University Ave W Ste S137, Saint Paul, MN 55104-2891 | |
| (320) 339-6553 | |
| Not Available |
| Full Name | Mr Clinton Gabriel Johnson Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 1821 University Ave W Ste S137, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366221392 | NPI | - | NPPES |
| A486630300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Clinton Gabriel Johnson Jr, 1821 University Ave W Ste S137, Saint Paul, MN 55104-2891 Ph: (320) 339-6553 | Mr Clinton Gabriel Johnson Jr, 1821 University Ave W Ste S137, Saint Paul, MN 55104-2891 Ph: (320) 339-6553 |
Yvette Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 762 Transfer Rd Ste 21, Saint Paul, MN 55114 Phone: 218-355-8978 | |
Miss Kelly Pertzsch, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 651-645-5325 Fax: 651-379-6141 | |
Abigail Brown, MA, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1246 University Ave W, Saint Paul, MN 55104 Phone: 651-404-2000 | |
Pang Xiong, Counselor Medicare: Medicare Enrolled Practice Location: 451 Lexington Pkwy N, Saint Paul, MN 55104 Phone: 651-280-2310 Fax: 651-280-3995 | |
Ms. Elizabeth Subramaniam, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 658 Grand Ave, Saint Paul, MN 55105 Phone: 612-920-2030 | |
Kyle Lipinski, MSS, LADC Counselor Medicare: Medicare Enrolled Practice Location: 438 Dorothy Day Pl, Saint Paul, MN 55102 Phone: 651-793-2219 | |
Noah Rector, LICSW, LADC, MED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2353 Rice St, Saint Paul, MN 55113 Phone: 612-979-2683 |