person
Matthew Johnson, LPC-IT,SAC-IT
Mental Health Counselor in West Bend, Wisconsin
NPI 1396523437

Matthew Johnson is a Mental Health Counselor based in Menomonee Falls, WI and is specialized in Mental Health. Matthew Johnson practices in West Bend, WI and has the professional credentials of LPC-IT,SAC-IT. The NPI Number for Matthew Johnson is 1396523437 and holds a License No. 20000-130 (Wisconsin).

The current practice location address for Matthew Johnson is 1622 Chestnut St, West Bend, WI and can be reached out via phone at 262-306-9800. You can also correspond with Matthew Johnson through the mailing address at W168N9096 GARDEN AVE, MENOMONEE FALLS, WI - 53051-2114 (mailing address contact number: ).

Location: 1622 Chestnut St, West Bend, WI, 53051-2114
person
Provider Profile Details
NPI Number
1396523437
Provider Name
Matthew Johnson
Credential
LPC-IT,SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
1622 Chestnut St, West Bend, WI, 53051-2114
Phone Number
262-306-9800
Fax Number
Provider Enumeration Date
09/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1622 Chestnut St
City
State
Zip
53095-3014
Phone Number
262-306-9800
Fax Number
person
Provider Business Mailing Address Details
Address
1622 Chestnut St
City
State
Zip
53095-3014
Phone Number
262-306-9800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
7352-226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
20000-130 (Wisconsin)
Definition
Definition to come...
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