Individual
JANE MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PEER CERTIFICATION
Contact information
Practice address
4528 W CRAIG RD STE 150, NORTH LAS VEGAS, NV 89032-2506
(702) 575-5662
(702) 645-0833
Mailing address
4528 W CRAIG RD STE 150, NORTH LAS VEGAS, NV 89032-2506
(702) 575-5662
(702) 645-0833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/10/2014
Last updated
07/21/2022
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