NPI Profile for MEGHANN E JOHNSON in KELLOG, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Community/Behavioral Health |
251S00000X |
| NPI Number | 1245525971 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/10/2011 | |
| Last updated | 03/04/2026 - About 3 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MEGHANN E JOHNSON
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