Individual
MS. COLLEEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1700 S PINEY CREEK RD, NAMPA, ID 83686-7642
(208) 468-9581
Mailing address
1700 S PINEY CREEK RD, NAMPA, ID 83686-7642
(208) 468-9581
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-6443
ID
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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