Individual
BRANON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
245 E 680 S, CEDAR CITY, UT 84720-3593
(435) 867-7654
Mailing address
474 W 200 N STE 300, ST GEORGE, UT 84770-4505
(435) 634-5600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5576511-6004
UT
101YP2500X
Professional Counselor
5576511-6004
UT
Other
Enumeration date
02/28/2012
Last updated
12/16/2024
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