Individual
MARILEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MRC, LPC
Contact information
Practice address
455 WASHINGTON ST STE 2, MONTPELIER, ID 83254-1600
(208) 847-4464
(208) 847-4251
Mailing address
455 WASHINGTON ST STE 2, MONTPELIER, ID 83254-1600
(208) 847-4464
(208) 847-4251
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-5414
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805405600
—
ID
Enumeration date
09/07/2011
Last updated
03/16/2021
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