Individual
BRENT JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
424 S MONROE AVE, GREEN BAY, WI 54301-4054
(920) 445-0170
(920) 445-0174
Mailing address
424 S MONROE AVE, GREEN BAY, WI 54301-4054
(920) 445-0170
(920) 445-0174
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5711-125
WI
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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