Individual
OLIVIA GRACE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10000 N 31ST AVE STE C307, PHOENIX, AZ 85051-9569
(480) 651-4209
Mailing address
10000 N 31ST AVE STE C307, PHOENIX, AZ 85051-9569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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