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1902942600
LISA JOHNSON
NAMPA, ID
NPI
1902942600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: ID 3122)
Enumeration Date
2007-01-29
Last Update Date
2024-01-16
Business Address
MS. LISA JOHNSON LCPC
9850 W ST LUKES DR STE 320
NAMPA, ID 83687-7912
Phone number: 208-505-2222
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Mailing Address
MS. LISA JOHNSON LCPC
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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