Individual
LISA INEZ JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSC, LAC
Contact information
Practice address
7730 E GREENWAY RD STE 205, SCOTTSDALE, AZ 85260-1788
(480) 774-3040
Mailing address
4032 W QUESTA DR, GLENDALE, AZ 85310-3255
(602) 741-1812
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-20298
AZ
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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