person
Ms. Lisa Johnson, LCPC
Professional Counselor in Nampa, Idaho
NPI 1902942600

Lisa Johnson is a Professional Counselor based in Boise, ID and is specialized in Professional. Lisa Johnson practices in Nampa, ID and has the professional credentials of LCPC. The NPI Number for Lisa Johnson is 1902942600 and holds a License No. 3122 (Idaho).

The current practice location address for Lisa Johnson is 9850 W St Lukes Dr Ste 320, Nampa, ID and can be reached out via phone at 208-505-2222 and via fax at 208-205-7666.

Location: 9850 W St Lukes Dr Ste 320, Nampa, ID, 83712-6241
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Provider Profile Details
NPI Number
1902942600
Provider Name
Lisa Johnson
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
9850 W St Lukes Dr Ste 320, Nampa, ID, 83712-6241
Phone Number
208-505-2222
Fax Number
208-205-7666
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LCPC3122 01 ID LICENSE
institution
Provider Business Practice Location Address Details
Address
9850 W St Lukes Dr Ste 320
City
State
Zip
83687-7912
Phone Number
208-505-2222
Fax Number
208-205-7666
person
Provider Business Mailing Address Details
Address
9850 W St Lukes Dr Ste 320
City
State
Zip
83687-7912
Phone Number
208-505-2222
Fax Number
208-205-7666
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3122 (Idaho)
Definition
Definition to come...
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