Samantha Ann Pruitt-johnson is a mental health counselor in St Louis Park, MN. Samantha Ann Pruitt-johnson NPI is 1750987749. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN
ZIP 55416-527
Phone: (952) 993-2498
Fax: (952) 993-2505
The NPI 1750987749 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 12/7/2020 and was last updated on 6/29/2022.