Individual
GARY A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN.
Contact information
Practice address
4410 ARAPAHOE AVE STE 205, BOULDER, CO 80303-1155
(720) 545-8193
Mailing address
1741 STONEHENGE DR, LAFAYETTE, CO 80026-9113
(720) 545-8193
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
796
CO
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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