Provider Demographics
NPI:1255769329
Name:JOHNSON, MOLLY SENA (LMHC, LMFT, LPCC)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:SENA
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LMHC, LMFT, LPCC
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:SENA
Other - Last Name:RADKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, LMFT, LPCC
Mailing Address - Street 1:8500 NORMANDALE LAKE BLVD # 1007
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-3813
Mailing Address - Country:US
Mailing Address - Phone:651-795-9515
Mailing Address - Fax:
Practice Address - Street 1:867 BOYLSTON ST # 1427
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-2774
Practice Address - Country:US
Practice Address - Phone:651-795-9515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-28
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10253101YM0800X
MNCC04749101YM0800X
MA10000350106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist