Individual
TERESA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
21539 E PUESTA DEL SOL, QUEEN CREEK, AZ 85142-7025
(480) 221-4311
Mailing address
21539 E PUESTA DEL SOL, QUEEN CREEK, AZ 85142-7025
(480) 221-4311
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
24596
AZ
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
24596
AZ
101YP2500X
Professional Counselor
Primary
24596
AZ
102L00000X
Psychoanalyst
24596
AZ
103K00000X
Behavior Analyst
—
—
171400000X
Health & Wellness Coach
24596
AZ
251S00000X
Community/Behavioral Health Agency
24596
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/27/2014
Last updated
04/14/2026
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