Individual
REGINA E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10700 ACADEMY RD NE APT 1422, ALBUQUERQUE, NM 87111-7334
(505) 318-1475
Mailing address
10700 ACADEMY RD NE APT 1422, ALBUQUERQUE, NM 87111-7334
(505) 318-1475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3606
NM
1041C0700X
Clinical Social Worker
Primary
M-06366
NM
Other
Enumeration date
07/10/2006
Last updated
09/19/2007
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