Individual
ROSALIE NADINE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
950 W IRONWOOD DR, STE #2, COEUR D ALENE, ID 83814-2644
(208) 664-1594
(208) 664-5867
Mailing address
950 W IRONWOOD DR, STE#2, COEUR D ALENE, ID 83814-2644
(208) 664-1594
(208) 664-5867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-3943
ID
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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