Individual
ABBY LEIGH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMHC, ATR
Contact information
Practice address
NORTHSTAR PLAZA, 65 STATE HWY 522, UNIT 65B1, EL PRADO, NM 87529
(505) 230-8291
Mailing address
PO BOX 87, OJO CALIENTE, NM 87549-0087
(505) 230-8291
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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