# MRS. JOELLE JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1831582626
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | LAC-LAC-LIC-1068 | MT | — |
| 1041C0700X | Clinical Social Worker | SWP-LCSW-LIC-11613 | MT | Yes |

## Other

- **Enumeration date:** 03/18/2015
- **Last updated:** 03/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | LAC-LAC-LIC-1068 | STATE LICENSE | MT |
| 01 | — | SWP-LCSW-LIC-11613 | STATE LICENSE | MT |