Organization
LIVING HOPE CHRISTIAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CARL JOHNSON PHD (PSYCHOLOGIST)
(920) 338-8699
Entity
Organization
Contact information
Practice address
2066 LAWRENCE DR, DE PERE, WI 54115-9421
(920) 338-8699
Mailing address
2066 LAWRENCE DR, DE PERE, WI 54115-9421
(920) 338-8699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1752
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41005200
—
WI
Enumeration date
06/04/2006
Last updated
09/09/2007
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