MICHAEL BLAINE JOHNSON

BELOIT, WI
NPI1578041919
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: WI  3648-125)
Enumeration Date2018-07-28
Last Update Date2018-07-28
Business Address
MICHAEL BLAINE JOHNSON LPC
416 COLLEGE ST
BELOIT, WI 53511-6310
Phone number: 608-365-1244
Mailing Address
MICHAEL BLAINE JOHNSON LPC
1822 CLEVELAND ST
BELOIT, WI 53511-2848
Phone number: 608-436-9182