Individual
MAGDA LORAYNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LMHC
Contact information
Practice address
4001 OFFICE COURT DR STE 701, SANTA FE, NM 87507-4905
(505) 207-8929
Mailing address
36 LA VISTA, SANTA FE, NM 87505
(715) 851-5653
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CMH0219091
NM
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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