institution
Robert E. Johnson, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) in Roseville, Minnesota
NPI 1235304981

Robert E. Johnson, Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Roseville, MN and is specialized in Mental Health (Including Community Mental Health Center). Robert E. Johnson, Inc. practices in Roseville, MN. The NPI Number for Robert E. Johnson, Inc. is 1235304981 and holds a License No. LP1796 (Minnesota).

The current practice location address for Robert E. Johnson, Inc. is 2579 Hamline Ave N, Roseville, MN and can be reached out via phone at 651-628-0947 and via fax at 651-636-2922.

Location: 2579 Hamline Ave N, Roseville, MN, 55113-3186
institution
Provider Profile Details
NPI Number
1235304981
Provider Name
Robert E. Johnson, Inc.
Credential
Provider Entity Type
Organization
Address
2579 Hamline Ave N, Roseville, MN, 55113-3186
Phone Number
651-628-0947
Fax Number
651-636-2922
Provider Enumeration Date
04/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
099347600 05 MN
1225134687 01 MN INDIVIDUAL NPI ALREADY ISSUED MEDICARE INFORMED US NEEDED GROUP ALSO
institution
Provider Business Practice Location Address Details
Address
2579 Hamline Ave N
City
State
Zip
55113-3186
Phone Number
651-628-0947
Fax Number
651-636-2922
person
Provider Business Mailing Address Details
Address
2579 Hamline Ave N
City
State
Zip
55113-3186
Phone Number
651-628-0947
Fax Number
651-636-2922
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
LP1796 (Minnesota)
Definition
Definition to come...
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