Individual
ELIJAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
227 NW SCHOOL ST, ANKENY, IA 50023-1746
(515) 225-4006
Mailing address
706 CRESTWOOD DR, HUXLEY, IA 50124-9479
(515) 777-5818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
120715
IA
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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