Individual
LISA E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
108 ARIZONA ST, BISBEE, AZ 85603-1804
(520) 432-3309
(520) 432-3717
Mailing address
155 CALLE PORTAL, SUITE 100, SIERRA VISTA, AZ 85635-2900
(520) 459-3011
(520) 515-8663
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16463
AZ
1041C0700X
Clinical Social Worker
C008646
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C008646
STATE LICENSE
NC
Enumeration date
03/26/2012
Last updated
12/06/2016
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