Individual
LEAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3509 E SHEA BLVD STE 108, PHOENIX, AZ 85028-3338
(480) 258-3595
Mailing address
3509 E SHEA BLVD STE 108, PHOENIX, AZ 85028-3338
(480) 258-3595
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-22870
AZ
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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