Donnell Marie Johansen

NPI #1962967232 in Ephraim, Utah

Provider Information

NPI Number: 1962967232
Entity Type: Individual
Name: Donnell Marie Johansen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 31, 2019
Last Updated: Jan 31, 2019

Practice Location

Address: 152 N 400 W
City: Ephraim
State: Utah
ZIP Code: 84627-5549
Phone: (435) 283-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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