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NPI Code Detail

MEDICARE: SHEILA JO OHNSTAD JOHNSON LMFT, CSAC

MEDICARE: SHEILA JO OHNSTAD JOHNSON LMFT, CSAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor15689-131WI
2106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1194012518
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA JO OHNSTAD JOHNSON LMFT, CSAC
Provider Business Mailing Address
First Line : 200 W VERONA AVE
Second Line :
City : VERONA
State : WI
Zip : 53593-1394
Country : US
Telephone Number : 608-354-2397
Fax Number : 608-387-8365
Provider Business Practice Location Address
First Line : 200 W VERONA AVE
Second Line :
City : VERONA
State : WI
Zip : 53593-1394
Country : US
Telephone Number : 608-354-2397
Fax Number : 608-387-8365
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2011
Last Update Date : 02/13/2023

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