Individual provider · Type 1 NPI

Brent Johnston, LPC

Professional Counselor · Green Bay, WI

NPI number 1881067957 Active

Practice location

424 S Monroe Ave
Green Bay, WI 54301-4054

Fax (920) 445-0174

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5711-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1881067957

Brent Johnston, LPC's National Provider Identifier is 1881067957, issued on Nov 11, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Green Bay, WI. The record was last updated on Nov 11, 2015.