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Mr. Cody William Redd Johnson, LPC,NCC
Counselor in Nampa, Idaho
NPI 1457854044

Cody William Redd Johnson is a Counselor based in Nampa, ID. Cody William Redd Johnson practices in Nampa, ID and has the professional credentials of LPC,NCC. The NPI Number for Cody William Redd Johnson is 1457854044 and holds a License No. LCPC-10144 (Idaho).

The current practice location address for Cody William Redd Johnson is 156 Mcclure Ave, Nampa, ID and can be reached out via phone at 208-323-9600 and via fax at 208-466-5359.

Location: 156 Mcclure Ave, Nampa, ID, 83653-0009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457854044
Provider Name
Cody William Redd Johnson
Credential
LPC,NCC
Provider Entity Type
Individual
Gender
Male
Address
156 Mcclure Ave, Nampa, ID, 83653-0009
Phone Number
208-323-9600
Fax Number
208-466-5359
Provider Enumeration Date
03/09/2018
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LPC-6773 05 ID
institution
Provider Business Practice Location Address Details
Address
156 Mcclure Ave
City
Nampa
State
Idaho
Zip
83651-2025
Phone Number
208-323-9600
Fax Number
208-466-5359
person
Provider Business Mailing Address Details
Address
156 Mcclure Ave
City
Nampa
State
Idaho
Zip
83651-2025
Phone Number
208-323-9600
Fax Number
208-466-5359
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LCPC-10144 (Idaho)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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