Tywan Johnson I

NPI #1306276944 in N Las Vegas, Nevada

Provider Information

NPI Number: 1306276944
Entity Type: Individual
Name: Tywan Johnson I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Rehabilitation Counselor
Enumeration Date: Nov 18, 2013
Last Updated: Nov 18, 2013

Practice Location

Address: 6551 MCCARRAN ST APT 1063
City: N Las Vegas
State: Nevada
ZIP Code: 89086-1438
Phone: (702) 542-1872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Counselor	225C00000X	Primary

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