Individual
JANELLE JOHNSON-YAVRUIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1010 W HAYS ST, BOISE, ID 83702-5435
(208) 600-2285
Mailing address
4055 N LA MESITA WAY, BOISE, ID 83702-1554
(208) 600-2285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-33075
ID
Other
Enumeration date
04/28/2010
Last updated
07/11/2024
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