Individual
BEVERLY ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 S WADSWORTH BLVD # 2-103A, LAKEWOOD, CO 80226-4300
(720) 583-5844
Mailing address
2110 TABOR DR, LAKEWOOD, CO 80215-1118
(540) 428-6329
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
06/07/2024
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