Individual
SETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4530 NORTHERN SKY DR, BISMARCK, ND 58503-8534
(701) 751-6336
(701) 751-6337
Mailing address
4530 NORTHERN SKY DR, BISMARCK, ND 58503-8534
(701) 751-6336
(701) 751-6337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1082-9-1-20A
ND
101YP2500X
Professional Counselor
Primary
1082-9-1-20
ND
101YP2500X
Professional Counselor
1082-9-1-20A
ND
Other
Enumeration date
09/04/2020
Last updated
06/05/2023
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