Individual
CHRISTINE JOHNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
10700 ACADEMY RD NE, ALBUQUERQUE, NM 87111-7378
(505) 288-0200
Mailing address
10700 ACADEMY RD NE, ALBUQUERQUE, NM 87111-7378
(505) 288-0200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
CTB-2022-0813
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16809742
—
NM
Enumeration date
02/26/2016
Last updated
02/27/2023
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