Organization
REDEEMING STEPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KLARICE JOHNSON LCSW (OWNER)
(208) 757-2932
Entity
Organization
Contact information
Practice address
355 W PACIFIC ST, BLACKFOOT, ID 83221-1725
(208) 557-1450
(888) 593-9842
Mailing address
734 N HIGHWAY 91, FIRTH, ID 83236-1156
(208) 757-2932
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
03/08/2023
Last updated
08/17/2024
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