Individual
MS. LYN KAROL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
(719) 538-1433
Mailing address
26246 REDLANDS BLVD APT 87, REDLANDS, CA 92373-7748
(909) 747-8962
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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