Individual
TIENA N JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 E NORTH ST, FRIENDSHIP, WI 53934-9422
(608) 339-4505
Mailing address
108 E NORTH ST, FRIENDSHIP, WI 53934-9422
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
WI
106S00000X
Behavior Technician
—
WI
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
05/18/2026
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