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Search › Minnesota › 101YM0800X

Matthew Johnson, LICSW

NPI 1487227229 · on the registry since 2021 · sole proprietor

Practice

Address
4820 77th St W Ste 117
Edina, MN 55435
Phone
(612) 208-2762
Organisation at this address
Statera Health Pllc
Behavioral Medicine Associates, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-16

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