Johnson, Kimberly Anne

Johnson, Kimberly Anne is an sole proprietor health care provider with primary practice located at 2205 N Ironwood Pl Ste A , Coeur D Alene ID 83814-2610. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Johnson, Kimberly Anne can be contacted via phone (208) 664-8347.

Contact Information

Primary practice address
2205 N Ironwood Pl Ste A Coeur D Alene ID 83814-2610
Phone: (208) 664-8347
Fax: (208) 664-9217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC-4251 Idaho

Profile Details

NPI number 1194940486
LBN Legal business name Johnson, Kimberly Anne
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated Jun 21st, 2024 - about 2 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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