Johnson Psychotherapy, Llc | |
502 Main St W Ste 303 Ashland WI 54806-1579 | |
(715) 575-4322 | |
Not Available |
Full Name | Johnson Psychotherapy, Llc |
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Speciality | Social Worker |
Location | 502 Main St W Ste 303, Ashland, Wisconsin |
Authorized Official Name and Position | Scott Johnson (PSYCHOTHERAPIST/OWNER) |
Authorized Official Contact | 7155754322 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Johnson Psychotherapy, Llc Po Box 631 Ashland WI 54806-0631 Ph: (715) 575-4322 | Johnson Psychotherapy, Llc 502 Main St W Ste 303 Ashland WI 54806-1579 Ph: (715) 575-4322 |
NPI Number | 1689455735 |
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Provider Enumeration Date | 10/13/2023 |
Last Update Date | 10/31/2023 |
Certification Date | 10/31/2023 |
Medicare PECOS PAC ID | 7911344098 |
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Medicare Enrollment ID | O20240325003015 |
Identifier | Type | State | Issuer |
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1689455735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Scott Johnson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255698205 PECOS PAC ID: 9931338613 Enrollment ID: I20220321002325 |
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