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Individual

PROF. ROSHELLE ANNETTE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1825 E NORTHERN AVE STE 135E, PHOENIX, AZ 85020-3979
(602) 377-7304
Mailing address
1825 E NORTHERN AVE STE 135E, PHOENIX, AZ 85020-3979
(602) 377-7304

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-17747
AZ

Other

Enumeration date
03/18/2019
Last updated
03/18/2019
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