| NPI | 1659241289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY LYNN JOHANSEN Mental Health Counselor 507-828-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-11-08 |
| Last Update Date | 2025-11-08 |