ALEX NC JOHNSON

EAGAN COUNSELING CLINIC

Dr ALEX NC JOHNSON is a male medical professional, specializing in Clinical Social Worker. He graduated in 2012.

Contact

EAGAN COUNSELING CLINIC

3450 OLEARY LN
EAGAN
MN
551232340

Tel: 6514540114

ALEX NC JOHNSON Information

Npi 1578802336
Pac Id 9436465705
Professional Enrollment Id I20150901001578
Last Name JOHNSON
First Name ALEX
Middle Name NC
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EAGAN COUNSELING CLINIC
Group Practice Pac Id 2860304045
Number Of Group Practice Members 24
Line 1 Street Address 3450 OLEARY LN
Line 2 Street Address
Marker Of Address Line 2 Suppression
City EAGAN
State MN
Zip Code 551232340
Phone Number 6514540114
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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