Individual
DR. MICHELE WATZKE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LMFT
Contact information
Practice address
422 MEDICO LN, SUITE A, SANTA FE, NM 87505-4786
(505) 954-1365
Mailing address
422 MEDICO LN, SUITE A, SANTA FE, NM 87505-4786
(505) 954-1365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0142451
NM
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
0145811
NM
Other
Enumeration date
07/17/2007
Last updated
05/14/2015
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