MRS. Amanda Inez Johnson, LPC

NPI #1487752226 in Trinidad, Colorado

Provider Information

NPI Number: 1487752226
Entity Type: Individual
Name: MRS. Amanda Inez Johnson, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Sep 20, 2006
Last Updated: Jul 10, 2020

Practice Location

Address: 417 S INDIANA AVE
City: Trinidad
State: Colorado
ZIP Code: 81082-3126
Phone: (719) 846-4416

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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