Individual
SUSAN L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
2936 LAKE MARY DR, SALT LAKE CITY, UT 84121-5331
(801) 860-9627
(801) 266-4944
Mailing address
3900 SOUTH 220 EAST, SUITE 6, MURRAY, UT 84107
(801) 860-9627
(801) 266-4944
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
5943276-3902
UT
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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