Individual
MS. COLLEEN DEPUYDT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
305 1ST AVE. W, COLUMBIA FALLS, MT 59912
(406) 892-4406
Mailing address
3536 SUNNY LN, COLUMBIA FALLS, MT 59912-9043
(406) 250-3845
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWP-LCSW-LIC-4574
MT
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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