Individual
LETICIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 N BUFFALO DR, #213, LAS VEGAS, NV 89128-0379
(702) 942-1774
Mailing address
663 LOUGHTON ST, LAS VEGAS, NV 89178-1219
(702) 412-9989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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