Individual
MR. DEVON MAX JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCC, LPC
Contact information
Practice address
3048 E BASELINE RD STE 117, MESA, AZ 85204-7288
(480) 406-9106
Mailing address
3048 E BASELINE RD STE 108, MESA, AZ 85204-7287
(480) 406-9106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-21326
AZ
Other
Enumeration date
09/11/2019
Last updated
09/13/2024
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