Individual
CARLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4371 E 72ND AVE, COMMERCE CITY, CO 80022-1471
(303) 853-3456
(303) 289-6962
Mailing address
1164 S ACOMA ST, 337, DENVER, CO 80210-1592
(215) 901-7060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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