Individual
AMANDA KAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
9485 W COLFAX AVE, LAKEWOOD, CO 80215-3918
(303) 425-0300
Mailing address
4851 INDEPENDENCE ST, SUITE 200, WHEAT RIDGE, CO 80033-6715
(303) 425-0300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
274
CO
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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