Ezequiel Johnson, P-PRC

NPI 1164345534 · on the registry since 2026

Practice

Address: 7091 W Emerald St
Boise, ID 83704
Phone: (208) 880-0863
Organisation at this address: Honor Behavioral Health Llc
Preferred Community Homes, Llc
Preferred Community Homes, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 175T00000X
175T00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho