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Organization

EVERGREEN WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MEGHANN JOHNSON LCSW (CEO)
(208) 512-2522
Entity
Organization

Contact information

Practice address
123 MCKINLEY AVE, KELLOGG, ID 83837-2501
(208) 512-2522
Mailing address
123 MCKINLEY AVE, KELLOGG, ID 83837-2501
(208) 512-2522

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/18/2025
Last updated
03/23/2026
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