Individual
ROBERT P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CICSW
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
106H00000X
Marriage & Family Therapist
Primary
4025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39191900
—
WI
Enumeration date
11/20/2006
Last updated
07/08/2007
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