Individual
TAMARA KAYE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCI
Contact information
Practice address
1101 ARROW POINT DR STE 214, CEDAR PARK, TX 78613-7739
(512) 986-7743
(512) 986-7759
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
(480) 687-7361
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60411
TX
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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