Russten Johnson

NPI #1154770022 in Rogers, Arkansas

Provider Information

NPI Number: 1154770022
Entity Type: Individual
Name: Russten Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 10, 2016
Last Updated: Jun 10, 2016

Practice Location

Address: 1200 W WALNUT ST STE 3100
City: Rogers
State: Arkansas
ZIP Code: 72756-3524
Phone: (479) 631-9996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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