Individual
ELLEN M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
40 E CENTER ST STE 12, FALLON, NV 89406-3474
(775) 432-7995
(775) 420-4408
Mailing address
PO BOX 104, FALLON, NV 89407-0104
(775) 432-7995
(775) 420-4408
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00530-LC
NV
106H00000X
Marriage & Family Therapist
Primary
2589
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00530-LC
STATE OF NV BOARD OF EXAMINERS FOR ALCOHOL, DRUG AND GAMBLING COUNSELORS
NV
01
—
2589
STATE OF NEVADA BOARD OF EXAMINERS FOR MARRIAGE AND FAMILY THERAPISTS & CPC
NV
Enumeration date
01/12/2014
Last updated
04/15/2022
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