Individual provider · Type 1 NPI

Amy Edwardson Johannesen, M.A., LPC, LMHC

Professional Counselor · Lewiston, ID

NPI number 1780077610 Active

Practice location

504 Main St, Ste. 444
Lewiston, ID 83501-1803

Call (208) 750-3000 Map

Fax (208) 750-1244

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLH00005257 (WA)
Professional Counselor Primary 101YP2500XLPC-5580 (ID)

Professional Counselor: Definition to come...

3 other providers at this address

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About NPI 1780077610

Amy Edwardson Johannesen, M.A., LPC, LMHC's National Provider Identifier is 1780077610, issued on Mar 17, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lewiston, ID. The record was last updated on Mar 17, 2015.