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Individual

MRS. MEGHANN ELIZABETH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
123 MCKINLEY AVENUE, KELLOG, ID 83837
(208) 208-0115
(208) 208-0115
Mailing address
221 HILL STREET, PO BOX 1172, OSBURN, ID 83849
(208) 512-2522

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1041C0700X
Clinical Social Worker
LCSW-35318
ID
251S00000X
Community/Behavioral Health Agency
LCSW-35318
ID

Other

Enumeration date
06/10/2011
Last updated
03/04/2026
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