Individual
LISA A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
43 WOODLAND PARK DR STE 5, KALISPELL, MT 59901-4676
(406) 813-0441
Mailing address
PO BOX 8506, KALISPELL, MT 59904-1506
(406) 212-7865
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
24410
MT
Other
Enumeration date
06/13/2017
Last updated
11/27/2023
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