Individual provider · Type 1 NPI
Emily Roth Johnson, LPC
Professional Counselor · Green Lake, WI
NPI number
1316077860
Active
Practice location
500 Lake Steel Street
Green Lake, WI 54941
Fax (920) 294-4139
Mailing address
PO Box 588
Green Lake, WI 54941-0588
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 3349125 (WI) |
| Professional Counselor Primary | 101YP2500X | 3349125 (WI) |
Professional Counselor: Definition to come...
Other professional counselor providers in Green Lake
About NPI 1316077860
Emily Roth Johnson, LPC's National Provider Identifier is 1316077860, issued on Mar 6, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Green Lake, WI. The record was last updated on Sep 11, 2025.