Amanda Medrano Johnson, LPC

NPI #1568359313 in Shelley, Idaho

Provider Information

NPI Number
1568359313
Entity Type
Individual
Name
Amanda Medrano Johnson, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LPC
Enumeration Date
Jun 23, 2025
Last Updated
Jun 23, 2025

Practice Location

Address
715 TWILIGHT DR
State
Idaho
ZIP Code
83274-1409
Phone
(208) 881-2658

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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