Individual
MS. CHRISTINA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18C CAMINO AMANSADOR, SANTA FE, NM 87508-9186
(505) 466-4552
Mailing address
18C CAMINO AMANSADOR, SANTA FE, NM 87508-9186
(505) 466-4552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1827
NM
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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