Individual
ELIZABETH ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10594 MAIN STREET #1021, HAYWARD, WI 54843
(715) 416-1381
(715) 934-2091
Mailing address
10594 MAIN ST, P.O. BOX 1021, HAYWARD, WI 54843-6038
(715) 416-1381
(715) 934-2091
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5875125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100035911
—
WI
Enumeration date
01/08/2014
Last updated
04/03/2019
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