Individual provider · Type 1 NPI

Michael Blaine Johnson, LPC

Professional Counselor · Beloit, WI

NPI number 1578041919 Active

Practice location

416 College St
Beloit, WI 53511-6310

Call (608) 365-1244 Map

Fax (608) 365-4097

Mailing address

1822 Cleveland St
Beloit, WI 53511-2848

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3648-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1578041919

Michael Blaine Johnson, LPC's National Provider Identifier is 1578041919, issued on Jul 28, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Beloit, WI. The record was last updated on Jul 28, 2018.