Individual
GABRIELLE LESLIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-I
Contact information
Practice address
3852 PALOS VERDES ST, LAS VEGAS, NV 89119-6909
(801) 580-3168
Mailing address
3852 PALOS VERDES ST, LAS VEGAS, NV 89119-6909
(801) 580-3168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06993-1
NV
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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