Individual provider · Type 1 NPI

Robby Gordon Johnson, MA

Counselor · Boise, ID

NPI number 1144654849 Active

Practice location

100 E Idaho St
Boise, ID 83712-6267

Fax (208) 381-4025

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 3218 W Overland Rd, Boise, ID 83705-3046 · (208) 305-4330

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLH 00011315 (WA)
Counselor Primary 101Y00000XLCPC 4843 (ID)
Counselor 101Y00000XC2770 (OR)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1144654849

Robby Gordon Johnson, MA's National Provider Identifier is 1144654849, issued on Aug 29, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Boise, ID. The record was last updated on Dec 4, 2023.