Individual
MR. ROY THOMAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1513 LIATRIS LN, NORTH POLE, AK 99705-5082
(865) 405-1748
Mailing address
1513 LIATRIS LN, NORTH POLE, AK 99705-5082
(865) 405-1748
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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