Individual
NANCY A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC LADAC
Contact information
Practice address
320 OSUNA RD NE STE A2, BLDG. A-2, ALBUQUERQUE, NM 87107-5953
(505) 346-0824
(505) 341-2287
Mailing address
320 OSUNA RD NE STE A2, BLDG. A-2, ALBUQUERQUE, NM 87107-5953
(505) 346-0824
(505) 341-2287
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02-103316-00-1
NM
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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