Michael Blaine Johnson, LPC

NPI #1578041919 in Beloit, Wisconsin

Provider Information

NPI Number
1578041919
Entity Type
Individual
Name
Michael Blaine Johnson, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Jul 28, 2018
Last Updated
Jul 28, 2018

Practice Location

Address
416 COLLEGE ST
City
Beloit
ZIP Code
53511-6310
Phone
(608) 365-1244

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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