Individual
CASSANDRA KIM JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
421 N MAIN ST, SUITE 302, PUEBLO, CO 81003-3196
(719) 562-0108
(719) 562-0129
Mailing address
421 N MAIN ST, SUITE 302, PUEBLO, CO 81003-3196
(719) 562-0108
(719) 562-0129
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012
CO
Other
Enumeration date
02/05/2007
Last updated
12/07/2009
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