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Individual

TAMIEKA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED. LPC

Contact information

Practice address
604 E 25TH ST, CHEYENNE, WY 82001-3133
(307) 634-9653
(307) 638-6805
Mailing address
604 E 25TH ST, CHEYENNE, WY 82001-3133
(307) 634-9653
(307) 638-6805

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
312
WY

Other

Enumeration date
03/21/2007
Last updated
12/07/2015
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