Individual
TINA JEANINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 TAMARUS ST APT 170, LAS VEGAS, NV 89119-2018
(661) 998-0103
Mailing address
5050 TAMARUS ST APT 170, LAS VEGAS, NV 89119-2018
(661) 998-0103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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