Individual
MR. LON P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
6202 CONSTITUTION DR STE D, FORT WAYNE, IN 46804-1583
(260) 432-0066
(260) 432-8503
Mailing address
6202 CONSTITUTION DR STE D, FORT WAYNE, IN 46804-1583
(260) 432-0066
(260) 432-8503
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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