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Individual
MR. RONALD JASON JOHNSON
Active
Individual
MR. RONALD JASON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3095
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3095
LPC LICENSE
CO
Enumeration date
11/24/2006
Last updated
07/08/2007
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