Individual
TIMOTHY BOGART JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3785 E SUNSET RD STE 10, LAS VEGAS, NV 89120-6260
(702) 985-2345
Mailing address
3785 E SUNSET RD STE 10, LAS VEGAS, NV 89120-6260
(702) 985-2345
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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