Individual provider · Type 1 NPI

Matthew Johansen, MS, LCPC, QSUDP

Mental Health Counselor · Meridian, ID

NPI number 1487066320 Active

Practice location

2131 S Bonito Way
Meridian, ID 83642-1659

Call (208) 202-4729 Map

Mailing address

6407 W Robertson Dr
Boise, ID 83709-2176

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCPC-6475 (ID)

Mental Health Counselor: Definition to come...

12 other providers at this address

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About NPI 1487066320

Matthew Johansen, MS, LCPC, QSUDP's National Provider Identifier is 1487066320, issued on May 27, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Meridian, ID. The record was last updated on Feb 22, 2019.