Individual provider · Type 1 NPI

Lydia Johnson, M.A., L.P.C., A.T.R.

Professional Counselor · Waukesha, WI

NPI number 1194076604 Active

Practice location

20700 Watertown Rd, Suit 102
Waukesha, WI 53186-1800

Call (262) 782-1474 Map

Fax (262) 782-1441

Mailing address

2979 N 53rd St
Milwaukee, WI 53210-1616

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4887-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1194076604

Lydia Johnson, M.A., L.P.C., A.T.R.'s National Provider Identifier is 1194076604, issued on Sep 24, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waukesha, WI. The record was last updated on Sep 24, 2012.