Individual
JUSTINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 W SELTICE WAY, COEUR D ALENE, ID 83814-8921
(208) 620-5255
Mailing address
3700 W SELTICE WAY, COEUR D ALENE, ID 83814-8921
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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