Individual
MRS. PATTI JEAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC,NCC
Contact information
Practice address
251 W ARROWROCK LN, BOISE, ID 83706-4802
(208) 366-1607
(208) 366-1602
Mailing address
750 W USTICK RD STE 120, MERIDIAN, ID 83646-6133
(208) 366-1607
(208) 366-1602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC6122
ID
101YP2500X
Professional Counselor
LPC-5253
ID
Other
Enumeration date
05/23/2013
Last updated
03/23/2022
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