| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TEDDI JOHANNSEN | 1821739095 | 2022-12-04 |
Teddi Johannsen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1821739095. Registration indicates Teddi Johannsen is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| Entity Type | Individual |
| Provider Name | Teddi Johannsen SWLC, ACLC |
| Practice Office Address | 390 HODGSON RD COLUMBIA FALLS, MT US |
| Practice Office Telephone | 4068972788 |
| Mailing Address | 2330 DILLON RD COLUMBIA FALLS, MT 599128928 US |
| Business Telephone | 4062122269 |
| Direct Messaging Address [] | [email protected] | Sunburst Health, LLC |
| Code | Practice | License No State |
|---|---|---|
| 101YA0400X | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | BBH-LAC-LIC-590
MT |
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | BBH-SWLC-LIC-55
MT |