Individual
ANNICE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
305 CARPENTER RD, FORT COLLINS, CO 80525-4248
(970) 663-3500
(970) 292-1085
Mailing address
102 E NEBRASKA AVE, BERTHOUD, CO 80513-1449
(970) 222-8055
(970) 292-1085
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0012386
CO
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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