Individual
AMY LORRAINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AMFT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
19632
CA
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
147401
CA
Other
Enumeration date
11/01/2019
Last updated
06/08/2026
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