Individual
DESIREE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3672 N RANCHO DR, LAS VEGAS, NV 89130-3149
(702) 685-1600
Mailing address
3672 N RANCHO DRIVE, LAS VEGAS, NV 89130
(702) 343-4237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NV20161075955
—
NV
Enumeration date
11/21/2016
Last updated
11/21/2016
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