Individual
ANNA C JOHNSON-WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1146
Mailing address
9423 W AVALANCHE DR, BOISE, ID 83709-5068
(208) 284-2095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-31376
ID
Other
Enumeration date
06/17/2010
Last updated
11/07/2025
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