| Alex Johnson Counseling, Llc | |
|
4525 White Bear Pkwy Ste 121 White Bear Lake MN 55110-7651 | |
| (612) 419-5985 | |
| Not Available |
| Full Name | Alex Johnson Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4525 White Bear Pkwy Ste 121, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Alex Nicholas Coffey Johnson (OWNER) |
| Authorized Official Contact | 6124195985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Johnson Counseling, Llc 4525 White Bear Pkwy Ste 121 White Bear Lake MN 55110-7651 Ph: (612) 419-5985 | Alex Johnson Counseling, Llc 4525 White Bear Pkwy Ste 121 White Bear Lake MN 55110-7651 Ph: (612) 419-5985 |
| NPI Number | 1003626169 |
|---|---|
| Provider Enumeration Date | 01/10/2025 |
| Last Update Date | 01/10/2025 |
| Certification Date | 01/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003626169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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