Individual
LEA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
220 E HORIZON DR, SUITE D, HENDERSON, NV 89015-8035
(702) 577-5977
(702) 476-4767
Mailing address
220 E HORIZON DR, SUITE D, HENDERSON, NV 89015-8035
(702) 577-5977
(702) 476-4767
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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