Search › Idaho › 101YM0800X
Kimberly Johnson, LCPC
NPI 1457610149 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1934 N 26th W
Idaho Falls, ID 83402 - Phone
- (208) 317-5469
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-20
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