Provider Information for 1083631576
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
JULIE ANN JOHNSON MS, LICSW
Other Names:Former Name:JULIE ANN HABERMANNSex: Female
NPI: 1083631576
Last Updated: 2021-12-23
Certification Date: 2021-12-23
Certification Date: 2021-12-23
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1083631576 | ||||||||
Enumeration Date | 2006-07-17 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | PO BOX 2506 BAXTER, MN 56425-2506 United States Phone: 218-454-0878 | Fax:218-454-0879 | ||||||||
Primary Practice Address | 7251 EXCELSIOR RD BAXTER, MN 56425-8477 United States Phone: 218-454-0878 | Fax:218-454-0879 | ||||||||
Secondary Practice Address(es) | |||||||||
Health Information Exchange |
| ||||||||
Other Identifiers |
| ||||||||
Taxonomy |
|