Individual
HEATHER MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC-T
Contact information
Practice address
400 N PENNSYLVANIA AVE STE 410, ROSWELL, NM 88201-4754
(575) 755-5555
Mailing address
400 N PENNSYLVANIA AVE STE 410, ROSWELL, NM 88201-4754
(575) 755-5555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CTB-2025-0802
NM
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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