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Individual

EMILY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1365 FOREST PARK CIR STE 203, LAFAYETTE, CO 80026-3195
(657) 210-0190
Mailing address
308 TRAILWOOD DR, WINDSOR, CO 80550-5902
(714) 616-4059

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2216
CO

Other

Enumeration date
09/19/2022
Last updated
09/19/2022
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