Individual
MS. KATHERINE/KATE JOHANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1325 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5046
(505) 291-5300
(505) 291-5327
Mailing address
3204 MONTEREY AVE SE, ALBUQUERQUE, NM 87106-2310
(505) 401-9148
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-08188
NM
1041C0700X
Clinical Social Worker
I-08188
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6700586
—
NM
Enumeration date
11/07/2007
Last updated
10/14/2024
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