Individual
MS. PAMELA K JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
310 S MAIN ST, SUITE A, CONRAD, MT 59425-2336
(406) 278-7470
(406) 278-5899
Mailing address
PO BOX 781, CONRAD, MT 59425-0781
(406) 278-7470
(406) 278-5899
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-582
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255047
—
MT
01
—
74746
BLUECROSSBLUESHIELD
MT
Enumeration date
04/10/2007
Last updated
07/08/2007
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