person
Stacy Ryan Johnson, BS
Mental Health Counselor in Eden Prairie, Minnesota
NPI 1588844898

Stacy Ryan Johnson is a Mental Health Counselor based in Maplewood, MN and is specialized in Mental Health. Stacy Ryan Johnson practices in Eden Prairie, MN and has the professional credentials of BS. The NPI Number for Stacy Ryan Johnson is 1588844898 and holds a License No. 2290 (Minnesota).

The current practice location address for Stacy Ryan Johnson is 7527 Mitchell Road, Eden Prairie, MN and can be reached out via phone at 952-228-2282 and via fax at 952-224-2284.

Location: 7527 Mitchell Road, Eden Prairie, MN, 55109-5353
person
Provider Profile Details
NPI Number
1588844898
Provider Name
Stacy Ryan Johnson
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
7527 Mitchell Road, Eden Prairie, MN, 55109-5353
Phone Number
952-228-2282
Fax Number
952-224-2284
Provider Enumeration Date
11/05/2007
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
7527 Mitchell Road
City
State
Zip
55344
Phone Number
952-228-2282
Fax Number
952-224-2284
person
Provider Business Mailing Address Details
Address
7527 Mitchell Road
City
State
Zip
55344
Phone Number
952-228-2282
Fax Number
952-224-2284
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2290 (Minnesota)
Definition
Definition to come...
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