Individual
MRS. LUSITA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
167 N MAIN ST, TUBA CITY, AZ 86045-0600
(928) 283-2831
(928) 283-2832
Mailing address
167 N MAIN ST, PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2831
(928) 283-2832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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