Individual
MARY LINDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 SAN PEDRO DR NE STE 201B, ALBUQUERQUE, NM 87110-6749
(575) 707-8150
(505) 212-1446
Mailing address
2617 CHARLESTON ST NE, ALBUQUERQUE, NM 87110-3605
(575) 707-8150
(505) 212-1446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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