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Individual

MICHELLE L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3902 E GRANT RD, TUCSON, AZ 85712-2558
(520) 468-4801
(415) 252-7176
Mailing address
3902 E GRANT RD, TUCSON, AZ 85712-2558
(520) 468-4801
(415) 252-7176

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17623
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPC-17623
STATE LICENSE
AZ
Enumeration date
11/08/2018
Last updated
04/17/2025
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