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Brent Johnston, LPC
NPI 1881067957 · on the registry since 2015
Practice
- Address
- 424 S Monroe Ave
Green Bay, WI 54301 - Phone
- (920) 445-0170
- Fax
- (920) 445-0174
- Organisation at this address
- East Side Family Practice Sc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-11-11
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 Wisconsin