Individual
JEFF T JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LCPC
Contact information
Practice address
233 E MAIN ST STE 401, BOZEMAN, MT 59715-5045
(720) 212-8508
Mailing address
233 E MAIN ST STE 401, BOZEMAN, MT 59715-5045
(720) 212-8508
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BBH-LCPC-LIC-49328
MT
101YM0800X
Mental Health Counselor
C5747
OR
101YM0800X
Mental Health Counselor
Primary
CO.0012791
CO
101YM0800X
Mental Health Counselor
LCPC-8059
ID
101YM0800X
Mental Health Counselor
PC5834
ME
Other
Enumeration date
09/08/2021
Last updated
03/24/2024
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