Individual
TEDDI JOHANNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
144 2ND ST W, WHITEFISH, MT 59937-3074
(406) 298-5728
(406) 730-2488
Mailing address
2330 DILLON RD, COLUMBIA FALLS, MT 59912-8928
(406) 212-2269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-LAC-LIC-59080
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-72298
MT
Other
Enumeration date
04/04/2022
Last updated
09/23/2024
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