Individual
TINA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 E JEFFERSON ST STE 240, PHOENIX, AZ 85034-2204
(815) 670-3235
Mailing address
700 E JEFFERSON ST STE 240, PHOENIX, AZ 85034-2204
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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