Individual
TIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCPC-I
Contact information
Practice address
2001 E RENO AVE, LAS VEGAS, NV 89119-2235
(702) 799-5640
Mailing address
2001 E RENO AVE, LAS VEGAS, NV 89119-2235
(702) 381-1242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
06/09/2023
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