Johnson, Judith R

Johnson, Judith R is an sole proprietor health care provider with primary practice located at 1368 N 19Th St , Laramie WY 82072-2313. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Judith R can be contacted via phone (307) 760-7216.

Contact Information

Primary practice address
1368 N 19Th St Laramie WY 82072-2313
Phone: (307) 760-7216
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 237 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X 447 Wyoming

Profile Details

NPI number 1851965842
LBN Legal business name Johnson, Judith R
Credentials LPC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2021
Last updated May 14th, 2021 - about 4 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851965842 NPPES
Wyoming Other 447 LPC
Wyoming Other 237 LPC
Wyoming Other 39374 LPC
Wyoming Other 237290 LPC

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