person
Jaclyn Rachel Johnson, MA,LPCC,LADC
Professional Counselor in Plymouth, Minnesota
NPI 1447912316

Jaclyn Rachel Johnson is a Professional Counselor based in Plymouth, MN and is specialized in Professional. Jaclyn Rachel Johnson practices in Plymouth, MN and has the professional credentials of MA,LPCC,LADC. The NPI Number for Jaclyn Rachel Johnson is 1447912316 and holds a License No. 306063 (Minnesota).

The current practice location address for Jaclyn Rachel Johnson is 4100 Berkshire Ln N, Plymouth, MN and can be reached out via phone at 763-203-9568.

Location: 4100 Berkshire Ln N, Plymouth, MN, 55446-3813
person
Provider Profile Details
NPI Number
1447912316
Provider Name
Jaclyn Rachel Johnson
Credential
MA,LPCC,LADC
Provider Entity Type
Individual
Gender
Female
Address
4100 Berkshire Ln N, Plymouth, MN, 55446-3813
Phone Number
763-203-9568
Fax Number
Provider Enumeration Date
10/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4100 Berkshire Ln N
City
State
Zip
55446-3813
Phone Number
763-203-9568
Fax Number
person
Provider Business Mailing Address Details
Address
4100 Berkshire Ln N
City
State
Zip
55446-3813
Phone Number
763-203-9568
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CC04220 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
306063 (Minnesota)
Definition
Definition to come...
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