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KYLE JOHANNESSEN, LPCC
LPCC
Professional Counselor
NPI: 1851923445IndividualAccepts Medicare
Specialties, Licenses & Credentials
Professional CounselorPrimary
Counselor — Professional
Code: 101YP2500X
CC02342(MN)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 2016
Contact & Hours
Via practice · 2 locations total
- Address
- 9120 SPRINGBROOK DR NW
COON RAPIDS, MN 55433 - Phone
- (612) 767-7222
Quick Facts
- NPI
- 1851923445
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 2
- Years in Practice
- 10
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