Individual
ASHLEY NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3939 US HIGHWAY 80 E STE 223, MESQUITE, TX 75150-3353
(972) 373-4932
Mailing address
4150 BELT LINE RD APT 14050, ADDISON, TX 75001-4499
(469) 870-9808
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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