Johnson, Lisa
Johnson, Lisa is an sole proprietor health care provider with primary practice located at 9850 W St Lukes Dr Ste 320 , Nampa ID 83687-7912. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnson, Lisa can be contacted via phone (208) 505-2222.Contact Information
Primary practice address
9850 W St Lukes Dr Ste 320
Nampa ID 83687-7912
Phone: (208) 505-2222
Fax: (208) 205-7666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3122 | Idaho |
Profile Details
| NPI number | 1902942600 |
|---|---|
| LBN Legal business name | Johnson, Lisa |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jan 16th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902942600 | NPPES |
| Idaho | Other | LCPC3122 | LICENSE |
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