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Individual
ANNA JOHNSON
Active
Individual
ANNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2210022
AR
106H00000X
Marriage & Family Therapist
F2302001
AR
Other
Enumeration date
12/12/2022
Last updated
02/05/2024
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