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1457854044
CODY WILLIAM REDD JOHNSON
NAMPA, ID
NPI
1457854044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: ID LCPC-10144)
Enumeration Date
2018-03-09
Last Update Date
2024-03-15
Business Address
Mr. CODY WILLIAM REDD JOHNSON LPC, NCC
156 MCCLURE AVE
NAMPA, ID 83651-2025
Phone number: 208-323-9600
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Mailing Address
Mr. CODY WILLIAM REDD JOHNSON LPC, NCC
PO BOX 9
NAMPA, ID 83653-0009
Phone number: 208-467-4431
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