person
Amy Edwardson Johannesen, MA,LPC,LMHC
Professional Counselor in Lewiston, Idaho
NPI 1780077610

Amy Edwardson Johannesen is a Professional Counselor based in Lewiston, ID and is specialized in Professional. Amy Edwardson Johannesen practices in Lewiston, ID and has the professional credentials of MA,LPC,LMHC. The NPI Number for Amy Edwardson Johannesen is 1780077610 and holds a License No. LH00005257 (Idaho).

The current practice location address for Amy Edwardson Johannesen is 504 Main St, Lewiston, ID and can be reached out via phone at 208-750-3000 and via fax at 208-750-1244.

Location: 504 Main St, Lewiston, ID, 83501-1803
person
Provider Profile Details
NPI Number
1780077610
Provider Name
Amy Edwardson Johannesen
Credential
MA,LPC,LMHC
Provider Entity Type
Individual
Gender
Female
Address
504 Main St, Lewiston, ID, 83501-1803
Phone Number
208-750-3000
Fax Number
208-750-1244
Provider Enumeration Date
03/17/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
504 Main St
City
State
Zip
83501-1803
Phone Number
208-750-3000
Fax Number
208-750-1244
person
Provider Business Mailing Address Details
Address
504 Main St
City
State
Zip
83501-1803
Phone Number
208-750-3000
Fax Number
208-750-1244
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC-5580 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LH00005257 (Washington)
Definition
Definition to come...
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