Individual
CHANELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3651 E BASELINE RD STE E222, GILBERT, AZ 85234-2689
(480) 712-9799
(480) 712-9811
Mailing address
PO BOX 9214, CHANDLER HEIGHTS, AZ 85127-9214
(480) 712-9799
(480) 712-9811
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-15735
AZ
Other
Enumeration date
03/29/2022
Last updated
09/14/2023
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