Individual
GENEVIEVE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 MOUNTAIN VIEW AVE STE 106, LONGMONT, CO 80501-3177
(916) 215-9128
Mailing address
1124 KANSAS AVE, LONGMONT, CO 80501-6648
(916) 215-9128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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