Individual
RENEE L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHP, LPC, NCC
Contact information
Practice address
11919 GRANT ST, SUITE 201, OMAHA, NE 68164-3475
(402) 312-0053
(402) 504-4584
Mailing address
11919 GRANT ST, SUITE 201, OMAHA, NE 68164-3475
(402) 312-0053
(402) 504-4584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2032
NE
101YM0800X
Mental Health Counselor
Primary
4137
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470785436
—
NE
Enumeration date
08/10/2010
Last updated
10/25/2012
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