Individual provider · Type 1 NPI
Monty L. Moore Johnson, LCPC
Mental Health Counselor · Boise, ID
NPI number
1801939533
Active
Practice location
6540 W Emerald St, Suite 100
Boise, ID 83704-8782
Fax (208) 378-1089
Mailing address
PO Box 44689
Boise, ID 83711-0689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LCPC-209 (ID) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1801939533
Monty L. Moore Johnson, LCPC's National Provider Identifier is 1801939533, issued on Feb 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.