Individual
SHERICE LATIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 S MCCLINTOCK DR, TEMPE, AZ 85282-7376
(602) 825-6466
Mailing address
12217 W DAVIS LN, AVONDALE, AZ 85323-7694
(623) 696-7251
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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