Simon M Johnson, BMS

NPI #1013234103 in Espanola, New Mexico

Provider Information

NPI Number: 1013234103
Entity Type: Individual
Name: Simon M Johnson, BMS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BMS
Enumeration Date: Apr 28, 2010
Last Updated: Apr 28, 2010

Practice Location

Address: 1302 CALLE DE LA MERCED
Address 2: SUITE H
City: Espanola
State: New Mexico
ZIP Code: 87532-2624
Phone: (505) 747-0081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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