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1780341156
KATHLEEN JACKSON JOHNSON
FARGO, ND
NPI
1780341156
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Former Name
KATHLEEN JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ND 1165-10-15-21A)
Enumeration Date
2021-11-20
Last Update Date
2024-08-29
Business Address
KATHLEEN JACKSON JOHNSON LPC
1202 WESTRAC DR S STE 200
FARGO, ND 58103-2356
Phone number: 701-280-9545
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Mailing Address
KATHLEEN JACKSON JOHNSON LPC
1505 5TH AVE S
FARGO, ND 58103-1539
Phone number: 701-232-8905
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