Individual
JULI EILEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3050 12TH AVE RD, NAMPA, ID 83686-8400
(208) 463-4639
Mailing address
1401 S COLUMBUS ST, BOISE, ID 83705-2508
(208) 991-7782
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-8731
ID
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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