Johannessen, Kyle

Johannessen, Kyle is an individual health care provider with primary practice located at 9120 Springbrook Dr Nw , Coon Rapids MN 55433-5845. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Johannessen, Kyle can be contacted via phone (612) 767-7222.

Contact Information

Primary practice address
9120 Springbrook Dr Nw Coon Rapids MN 55433-5845
Phone: (612) 767-7222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC02342 Minnesota

Profile Details

NPI number 1851923445
LBN Legal business name Johannessen, Kyle
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2020
Last updated Sep 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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