Individual
MR. JONATHEN ROBERT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2965 S JONES BLVD STE C-1, LAS VEGAS, NV 89146-5629
(702) 471-0420
Mailing address
1800 REDROCK DR, PAHRUMP, NV 89048-6418
(702) 497-7639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CP2955
NV
Other
Enumeration date
02/14/2013
Last updated
12/12/2023
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