| Doctor Name: | MRS. JULIE JOHNSON |
| NPI Number: | 1235402652 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, NCC, TLMHC, LPHA |
| License Number: | 001458 |
| Business Practice Address: | 307 W Main St Marshalltown, IA - 501585796 |
| Business Phone Number: | 6413527000 |
| Business Fax Number: | 8664964073 |
| Mailing Address: | 403 4th St, GRUNDY CENTER |
| State: | IA |
| Postal Code: | 506381730 |
| Phone Number: | 3192398522 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2012 |
| NPI Last Update Date: | 02/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 001458 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |