MEDICARE: MR. NATHAN AARON JAMES JOHNSON LPC

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
1	251S00000X	Community/Behavioral Health Agency	2933	MN

General Provider Information

NPI Number	:	1972396240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NATHAN AARON JAMES JOHNSON LPC

Provider Business Mailing Address
First Line	:	206 HAGGE ST
Second Line	:
City	:	WORTHINGTON
State	:	MN
Zip	:	56187-1135
Country	:	US
Telephone Number	:	507-329-6235
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 W SUPERIOR ST STE 200
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55802-1939
Country	:	US
Telephone Number	:	218-606-1100
Fax Number	:	218-520-1799

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2025
Last Update Date	:	05/28/2025

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Directions to “ MR. NATHAN AARON JAMES JOHNSON LPC” Practice Location

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