Individual
WESLEY I JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
130 E WALNUT ST, SUITE 706, GREEN BAY, WI 54301-4239
(920) 437-8256
(920) 437-1188
Mailing address
130 E WALNUT ST, SUITE 706, GREEN BAY, WI 54301-4239
(920) 437-8256
(920) 437-1188
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3323
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40979000
—
WI
Enumeration date
11/20/2006
Last updated
07/08/2007
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