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
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LH 00011315 (WA) |
| Counselor Primary | 101Y00000X | LCPC 4843 (ID) |
| Counselor | 101Y00000X | C2770 (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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- Robert DeinesCounselor Boise, ID NPI 1043751431
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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.