person
Emily Roth Johnson, LPC
Professional Counselor in Green Lake, Wisconsin
NPI 1316077860

Emily Roth Johnson is a Professional Counselor based in Green Lake, WI and is specialized in Professional. Emily Roth Johnson practices in Green Lake, WI and has the professional credentials of LPC. The NPI Number for Emily Roth Johnson is 1316077860 and holds a License No. 3349125 (Wisconsin).

The current practice location address for Emily Roth Johnson is 500 Lake Steel Street, Green Lake, WI and can be reached out via phone at 920-294-4070 and via fax at 920-294-4139.

Location: 500 Lake Steel Street, Green Lake, WI, 54941-0588
person
Provider Profile Details
NPI Number
1316077860
Provider Name
Emily Roth Johnson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
500 Lake Steel Street, Green Lake, WI, 54941-0588
Phone Number
920-294-4070
Fax Number
920-294-4139
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40994500 05 WI
institution
Provider Business Practice Location Address Details
Address
500 Lake Steel Street
City
State
Zip
54941
Phone Number
920-294-4070
Fax Number
920-294-4139
person
Provider Business Mailing Address Details
Address
500 Lake Steel Street
City
State
Zip
54941
Phone Number
920-294-4070
Fax Number
920-294-4139
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3349125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3349125 (Wisconsin)
Definition
Definition to come...
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