Individual
BRIAN BURKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(531) 355-3358
(531) 355-3375
Mailing address
2313 N WEBB RD, GRAND ISLAND, NE 68803-1743
(308) 381-8851
(308) 381-8853
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
11864
NE
103T00000X
Psychologist
Primary
PSY004540
GA
Other
Enumeration date
05/28/2019
Last updated
09/16/2021
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