Individual
ADDISON QUINN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
900 N LIBERTY ST STE 206, BOISE, ID 83704-8729
(208) 302-1100
Mailing address
6200 N RIVER POINTE DR APT C206, BOISE, ID 83714-1851
(208) 407-3793
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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