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Individual
MARVEA JOHNSON
Active
Individual
MARVEA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, ATR-BC, LPAT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
277581
KY
106S00000X
Behavior Technician
RBT-19-76062
KY
221700000X
Art Therapist
Primary
277581
KY
Other
Enumeration date
01/15/2019
Last updated
08/23/2024
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