Organization
TABITHA JOHNSON MFT, PLLC
Active
Other names
Marathon
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TABITHA M. JOHNSON LMFT (MANAGER)
(702) 279-8200
Entity
Organization
Contact information
Practice address
8565 S EASTERN AVE STE 172, LAS VEGAS, NV 89123-2907
(702) 279-8200
Mailing address
8565 S EASTERN AVE STE 172, LAS VEGAS, NV 89123-2907
(702) 279-8200
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
01214
NV
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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