Provider Demographics
NPI:1730439258
Name:JOHNSON, DOROTHI CATHERINE (LPC)
Entity type:Individual
Prefix:
First Name:DOROTHI
Middle Name:CATHERINE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DOROTHI
Other - Middle Name:CATHERINE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:301 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:LA GRANDE
Mailing Address - State:OR
Mailing Address - Zip Code:97850-2928
Mailing Address - Country:US
Mailing Address - Phone:541-786-7068
Mailing Address - Fax:
Practice Address - Street 1:105 FIR ST STE 208
Practice Address - Street 2:
Practice Address - City:LA GRANDE
Practice Address - State:OR
Practice Address - Zip Code:97850-2661
Practice Address - Country:US
Practice Address - Phone:541-786-7068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health