person
Matthew Tyler Johnson, LICSW
Mental Health Counselor in Eden Prairie, Minnesota
NPI 1487227229

Matthew Tyler Johnson is a Mental Health Counselor based in Eden Prairie, MN and is specialized in Mental Health. Matthew Tyler Johnson practices in Eden Prairie, MN and has the professional credentials of LICSW. The NPI Number for Matthew Tyler Johnson is 1487227229 and holds a License No. 27484 (Minnesota).

The current practice location address for Matthew Tyler Johnson is 800 Prairie Center Dr Ste 210, Eden Prairie, MN and can be reached out via phone at 612-888-0544.

Location: 800 Prairie Center Dr Ste 210, Eden Prairie, MN, 55344-7306
person
Provider Profile Details
NPI Number
1487227229
Provider Name
Matthew Tyler Johnson
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
800 Prairie Center Dr Ste 210, Eden Prairie, MN, 55344-7306
Phone Number
612-888-0544
Fax Number
Provider Enumeration Date
07/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 Prairie Center Dr Ste 210
City
State
Zip
55344-7306
Phone Number
612-888-0544
Fax Number
person
Provider Business Mailing Address Details
Address
800 Prairie Center Dr Ste 210
City
State
Zip
55344-7306
Phone Number
612-888-0544
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
27484 (Minnesota)
Definition
Definition to come...
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