| Doctor Name: | MS. DEBRA K. JOHNSON |
| NPI Number: | 1194796581 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS LPCMH |
| License Number: | LPCMH 2046 |
| Business Practice Address: | 510 N Main Ave. Suite 1 Brookings, SD - 57006 |
| Business Phone Number: | 6056904425 |
| Business Fax Number: | |
| Mailing Address: | 336 Eastern Ave, 510 No. Main Ave. Suite 1 BROOKINGS |
| State: | SD |
| Postal Code: | 570062726 |
| Phone Number: | 6056904425 |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPCMH 2046 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |