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Organization

LYNNETTE JOHNSON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNNETTE ELAINE JOHNSON MA, MFT, LADC (DIRECTOR)
(702) 434-1564
Entity
Organization

Contact information

Practice address
1641 E FLAMINGO RD, SUITE 7, LAS VEGAS, NV 89119-5257
(702) 434-1564
(702) 434-6704
Mailing address
1641 E FLAMINGO RD, SUITE 7, LAS VEGAS, NV 89119-5257
(702) 434-1564
(702) 434-6704

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01060
NV
251S00000X
Community/Behavioral Health Agency
01060
NV

Other

Enumeration date
07/26/2010
Last updated
10/19/2012
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