Provider Demographics
NPI:1649917998
Name:BRIZEE JOHNSTON, JANICE M (LCSW)
Entity type:Individual
Prefix:MS
First Name:JANICE
Middle Name:M
Last Name:BRIZEE JOHNSTON
Suffix:
Gender:F
Credentials:LCSW
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 592
Mailing Address - Street 2:
Mailing Address - City:CARLIN
Mailing Address - State:NV
Mailing Address - Zip Code:89822-0592
Mailing Address - Country:US
Mailing Address - Phone:775-388-9851
Mailing Address - Fax:775-204-2202
Practice Address - Street 1:1775 BROWNING WAY STE 102
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-8338
Practice Address - Country:US
Practice Address - Phone:775-403-6718
Practice Address - Fax:775-204-2202
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-18
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11471-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical