Individual
ANGELA R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
325 S 1ST ST, TUCUMCARI, NM 88401-2707
(575) 282-2222
(575) 282-2224
Mailing address
325 S 1ST ST, TUCUMCARI, NM 88401-2707
(575) 282-2222
(575) 282-2224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0166
NM
Other
Enumeration date
08/31/2022
Last updated
03/12/2024
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