Individual
ABBY LEIGH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMHC, ATR
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CMH0223951
NM
101YP2500X
Professional Counselor
Primary
LPC.0020193
CO
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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