Individual
MATTHEW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
6909 S HOLLY CIR, SUITE 304, CENTENNIAL, CO 80112-1042
(303) 667-4563
Mailing address
6909 S HOLLY CIR, SUITE 304, CENTENNIAL, CO 80112-1042
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1151
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1151
LICENSE NUMBER
CO
Enumeration date
10/02/2015
Last updated
10/02/2015
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