Individual provider · Type 1 NPI
Jennifer A. Johnson, LPC
Mental Health Counselor · Boise, ID
NPI number
1649734583
Active
Practice location
6126 W State St Ste 102
Boise, ID 83703-2741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC6973 (ID) |
Mental Health Counselor: Definition to come...
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About NPI 1649734583
Jennifer A. Johnson, LPC's National Provider Identifier is 1649734583, issued on Jan 24, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Oct 29, 2020.