MATTHEW JOHANSEN, MS, LCPC, QSUDP

Counselor - Mental Health

Active Individual
NPI: 1487066320

Practice Address

2131 S BONITO WAY
Meridian, ID 83642

Phone: (208) 202-4729

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes LCPC-6475 (ID)

Frequently Asked Questions

NPI 1487066320 is the National Provider Identifier for MATTHEW JOHANSEN, MS, LCPC, QSUDP, a Counselor - Mental Health provider located in Meridian, ID. This NPI was enumerated on May 27, 2014.
MATTHEW JOHANSEN, MS, LCPC, QSUDP practices at 2131 S BONITO WAY, Meridian, ID 83642.

Quick Facts

NPI
1487066320
Type
Individual
Enumerated
May 27, 2014
Last Updated
Feb 22, 2019

Nearby Providers