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Individual
ELLEN M JOHNSON
Active
Individual
ELLEN M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00530-LC
NV
106H00000X
Marriage & Family Therapist
Primary
2589
NV
Other
Enumeration date
01/12/2014
Last updated
04/15/2022
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