Amy Johannesen, M.A., LPC, LMHC

NPI 1780077610 · on the registry since 2015

Practice

Address: 504 Main St
Ste. 444
Lewiston, ID 83501
Phone: (208) 750-3000
Fax: (208) 750-1244
Organisation at this address: Alpowa Healthcare, Inc.
Fraley & Associates, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 101YM0800X
Licence states on file: WA, ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho