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NPI Code Detail

MEDICARE: AARON A JOHNSEN LPCC

MEDICARE: AARON A JOHNSEN LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator900-4-15-17ND
2101YP2500XProfessional Counselor900-4-15-17ND

General Provider Information

NPI Number : 1568868545
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON A JOHNSEN LPCC
Provider Business Mailing Address
First Line : 1615 17TH AVE S
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-5372
Country : US
Telephone Number : 701-795-8550
Fax Number : 701-746-5523
Provider Business Practice Location Address
First Line : 1615 17TH AVE S
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-5372
Country : US
Telephone Number : 701-795-8550
Fax Number : 701-746-5523
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2014
Last Update Date : 01/02/2026

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Directions to “ AARON A JOHNSEN LPCC” Practice Location

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