Individual
ANNIKA JOHANSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 2ND ST NW, ALBUQUERQUE, NM 87102-2218
(505) 242-4399
Mailing address
1120 2ND ST NW, ALBUQUERQUE, NM 87102-2218
(505) 242-4399
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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