Individual provider · Type 1 NPI
Brian A. Johnson, LPCC
Professional Counselor · Hauser, ID
NPI number
1669002630
Active
Practice location
16978 W Santiago Cir
Hauser, ID 83854-8153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
About NPI 1669002630
Brian A. Johnson, LPCC's National Provider Identifier is 1669002630, issued on Jan 18, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hauser, ID. The record was last updated on Jan 18, 2020.