person
Bethany Ann Johnson
Mental Health Counselor in Beloit, Wisconsin
NPI 1144868357

Bethany Ann Johnson is a Mental Health Counselor based in Beloit, WI and is specialized in Mental Health. Bethany Ann Johnson practices in Beloit, WI. The NPI Number for Bethany Ann Johnson is 1144868357 and holds a License No. (Wisconsin).

The current practice location address for Bethany Ann Johnson is 2240 Prairie Ave, Beloit, WI and can be reached out via phone at 086-361-7200.

Location: 2240 Prairie Ave, Beloit, WI, 53511-2648
person
Provider Profile Details
NPI Number
1144868357
Provider Name
Bethany Ann Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2240 Prairie Ave, Beloit, WI, 53511-2648
Phone Number
086-361-7200
Fax Number
Provider Enumeration Date
12/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
474579189001 05 IL
institution
Provider Business Practice Location Address Details
Address
2240 Prairie Ave
City
State
Zip
53511-2648
Phone Number
086-361-7200
Fax Number
person
Provider Business Mailing Address Details
Address
2240 Prairie Ave
City
State
Zip
53511-2648
Phone Number
086-361-7200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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