Provider Demographics
NPI:1134767304
Name:HAYES-JOHNSON, JOSIE KOLLEEN (LCPC)
Entity type:Individual
Prefix:
First Name:JOSIE
Middle Name:KOLLEEN
Last Name:HAYES-JOHNSON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 405
Mailing Address - Street 2:
Mailing Address - City:ALBERTON
Mailing Address - State:MT
Mailing Address - Zip Code:59820-0405
Mailing Address - Country:US
Mailing Address - Phone:406-360-4592
Mailing Address - Fax:
Practice Address - Street 1:314 RAILROAD AVE.
Practice Address - Street 2:
Practice Address - City:ALBERTON
Practice Address - State:MT
Practice Address - Zip Code:59820
Practice Address - Country:US
Practice Address - Phone:406-360-4592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-18
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-38911101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional