Individual
AMANDA TRIPP JOHANSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCLC
Contact information
Practice address
715 KENSINGTON AVE STE 14, MISSOULA, MT 59801-5700
(970) 501-5226
Mailing address
429 WHITEWATER LN, ALBERTON, MT 59820-8514
(970) 501-5226
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
BBH-PCLC-LIC-89083
MT
101YM0800X
Mental Health Counselor
BBH-PCLC-LIC-89083
MT
101YP2500X
Professional Counselor
Primary
BBH-PCLC-LIC-89083
MT
Other
Enumeration date
07/03/2026
Last updated
07/04/2026
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