Individual
CARMEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
4516 62ND ST, URBANDALE, IA 50322-1958
(515) 556-4406
Mailing address
4516 62ND ST, URBANDALE, IA 50322-1958
(515) 556-4406
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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