Individual
COURTNEY AUTUMN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 S CENTRAL AVE STE 700, MARSHFIELD, WI 54449-4138
(715) 221-5714
(715) 221-5715
Mailing address
116701 RIVERSIDE RD, MARSHFIELD, WI 54449-4371
(715) 751-3331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20044-130
WI
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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