Individual
EMILY MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
600 42ND ST, DES MOINES, IA 50312-2701
(515) 255-8399
Mailing address
1290 JORDAN ST, NORTH LIBERTY, IA 52317-8020
(319) 249-0307
(319) 358-2367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
077231
IA
1041C0700X
Clinical Social Worker
Primary
077231
IA
Other
Enumeration date
11/16/2021
Last updated
12/15/2023
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