Individual
SARA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5B RUDY RODRIQUEZ DR, SANTA FE, NM 87508-9220
(505) 500-4988
Mailing address
1704 LLANO ST STE B-1486, SANTA FE, NM 87505-5415
(505) 500-4988
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
CTB-2023-1030
NM
Other
Enumeration date
04/26/2021
Last updated
02/06/2024
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