Individual
MS. TAMARA DALE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 833-2300
(505) 833-2339
Mailing address
2551 COORS BLVD NW, ALBUQUERQUE, NM 87120-1213
(505) 833-2300
(815) 284-2834
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/14/2009
Last updated
02/17/2020
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