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MS. PAMELA K JOHNSON L.C.P.C.

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1063635852

Individual Registrant:
MS. PAMELA K JOHNSON L.C.P.C.
Gender: F
Sole Proprietor

Location and contact information for practice:
310 S MAIN ST SUITE A CONRAD, MT 59425-2336 US
Tel: 406-278-7470  Fax: 406-278-5899

Contact information for business:
PO BOX 781  CONRAD, MT 59425-0781 US
Tel: 406-278-7470  Fax: 406-278-5899

Registration Information:
NPI: 1063635852
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
MTLCPC-582

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
255047MT05
BLUECROSSBLUESHIELD74746MT01




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