Bethany Johnson, LCPC, LADC, CCS

NPI #1568865673 in Saco, Maine

Provider Information

NPI Number: 1568865673
Entity Type: Individual
Name: Bethany Johnson, LCPC, LADC, CCS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LCPC, LADC, CCS
Enumeration Date: Oct 2, 2014
Last Updated: Oct 16, 2023

Practice Location

Address: 342 NORTH ST APT 606
City: Saco
State: Maine
ZIP Code: 04072-1857
Phone: (072) 812-4602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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