| Amanda Medrano Johnson, LPC | |
|
715 Twilight Dr, Shelley, ID 83274-1409 | |
| (208) 881-2658 | |
| Not Available |
| Full Name | Amanda Medrano Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 715 Twilight Dr, Shelley, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568359313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-5672 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Medrano Johnson, LPC 715 Twilight Dr, Shelley, ID 83274-1409 Ph: (208) 881-2658 | Amanda Medrano Johnson, LPC 715 Twilight Dr, Shelley, ID 83274-1409 Ph: (208) 881-2658 |
Madison Knowles, MS, LMHC, LPC, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1170 E 800 N, Shelley, ID 83274 Phone: 772-284-1873 | |
Suzanna Marie Bird, Counselor Medicare: Medicare Enrolled Practice Location: 675 Aspen Ave, Shelley, ID 83274 Phone: 208-419-6196 |