Search › Minnesota › 101YP2500X
Jaclyn Johnson, MA, LPCC, LADC
NPI 1447912316 · on the registry since 2021
Practice
- Address
- 4100 Berkshire Ln N
Plymouth, MN 55446 - Phone
- (763) 203-9568
- Organisation at this address
- Affiliated Eye Care Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Additional practice sites
- 7430 Wentworth Ave, Richfield, MN
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota