Pamela Johnson, MA, LMFT, LP

NPI #1235158940 in Roseville, Minnesota

Provider Information

NPI Number: 1235158940
Entity Type: Individual
Name: Pamela Johnson, MA, LMFT, LP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Marriage & Family Therapist
Credential: MA, LMFT, LP
Enumeration Date: Jul 19, 2006
Last Updated: Mar 17, 2018

Practice Location

Address: 1751 COUNTY ROAD B W STE 100
City: Roseville
State: Minnesota
ZIP Code: 55113-4037
Phone: (612) 719-5636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Marriage & Family Therapist	106H00000X	Primary

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