# LISA JAYNES JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477599249
- **Gender:** F
- **Credential:** LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1710 | NM | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 07/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10001443 | LOVELACE HEALTH PLAN | NM |
| 01 | — | 112391 | VALUE OPTIONS PPO | NM |
| 01 | — | 87726 | UNITED HEALTH PLAN | NM |
| 01 | — | NM02JE00 | BLUE CROSS BLUE SHEILD ID | NM |
| 01 | — | NM100184 | VALUE OPTIONS NM | NM |
| 05 | — | Z7949 | — | NM |