Individual
MS. ANN P. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED,LAC
Contact information
Practice address
777 S WADSWORTH BLVD, BLDG. 2, SUITE 205, LAKEWOOD, CO 80226-4300
(303) 989-9577
(303) 989-9890
Mailing address
777 S WADSWORTH BLVD, BLDG. 2, SUITE 205, LAKEWOOD, CO 80226-4300
(303) 989-9577
(303) 989-9890
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
40
CO
101YM0800X
Mental Health Counselor
0
CO
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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