person
Renee Johanson, LPC
Professional Counselor in Middleton, Idaho
NPI 1063080265

Renee Johanson is a Professional Counselor based in Star, ID and is specialized in Professional. Renee Johanson practices in Middleton, ID and has the professional credentials of LPC. The NPI Number for Renee Johanson is 1063080265 and holds a License No. LPC-8144 (Idaho).

The current practice location address for Renee Johanson is 22480 Duff Ln, Middleton, ID and can be reached out via phone at 986-200-7921.

Location: 22480 Duff Ln, Middleton, ID, 83669-5016
person
Provider Profile Details
NPI Number
1063080265
Provider Name
Renee Johanson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
22480 Duff Ln, Middleton, ID, 83669-5016
Phone Number
986-200-7921
Fax Number
Provider Enumeration Date
06/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22480 Duff Ln
City
State
Zip
83644-6041
Phone Number
986-200-7921
Fax Number
person
Provider Business Mailing Address Details
Address
22480 Duff Ln
City
State
Zip
83644-6041
Phone Number
986-200-7921
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC-8144 (Idaho)
Definition
Definition to come...
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