MR. Brian A Johnson, LPCC

NPI #1669002630 in Hauser, Idaho

Provider Information

NPI Number: 1669002630
Entity Type: Individual
Name: MR. Brian A Johnson, LPCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPCC
Enumeration Date: Jan 18, 2020
Last Updated: Jan 18, 2020

Practice Location

Address: 16978 W SANTIAGO CIR
City: Hauser
State: Idaho
ZIP Code: 83854-8153
Phone: (208) 446-6940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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