Individual
BRENNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPC
Contact information
Practice address
1928 COTTONWOOD DR, LARAMIE, WY 82070-7305
(907) 529-1891
Mailing address
1928 COTTONWOOD DR, LARAMIE, WY 82070-7305
(907) 529-1891
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PPC-1384
WY
101YP2500X
Professional Counselor
Primary
LPC-2548
WY
Other
Enumeration date
05/30/2023
Last updated
05/11/2026
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