# LISA J JOHNSON LMFT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346510740
- **Authorized official:** MS. LISA J JOHNSON LMFT (SOLE PROPRIETOR)
- **Authorized official phone:** (505) 288-2162

## Contact information

- **Practice address:** 3214 PURDUE PL NE, ALBUQUERQUE, NM 87106-2124
- **Practice address phone:** (505) 288-2162
- **Practice address fax:** (505) 266-1440
- **Mailing address:** 817 CARLISLE BLVD NE, ALBUQUERQUE, NM 87106-1209
- **Mailing address phone:** (505) 288-2162
- **Mailing address fax:** (505) 266-1440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2012
- **Last updated:** 01/03/2012