Individual
TABITHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8565 S EASTERN AVE, 172, LAS VEGAS, NV 89123-2808
(702) 279-8200
Mailing address
8565 S EASTERN AVE, 172, LAS VEGAS, NV 89123-2808
(702) 279-8200
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01214
NV
Other
Enumeration date
04/14/2011
Last updated
05/04/2017
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