SearchIdahoMental Health Counselor

Matthew Johansen, MS, LCPC, QSUDP

NPI 1487066320 · on the registry since 2014

Practice

Address
2131 S Bonito Way
Meridian, ID 83642
Phone
(208) 202-4729
Organisation at this address
Rc Dobrowolski Pc
Owens Medical Pllc
Hbs Of Meridian, Llc
Boise Intensive Care Hospital Inc
Boise Intensive Care Hospital, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-02-22

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