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Individual

MS. JESSICA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
3865 E LOHMAN AVE STE 4, LAS CRUCES, NM 88011-8292
(575) 259-3527
Mailing address
2775 N ROADRUNNER PKWY APT 5902, LAS CRUCES, NM 88011-8152
(575) 640-9543

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
T0096531
NM
106H00000X
Marriage & Family Therapist
Primary
0115341
NM

Other

Enumeration date
06/15/2007
Last updated
11/05/2025
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