Merle Leo Johnson, LISAC

NPI #1992896542 in Parker, Arizona

Provider Information

NPI Number: 1992896542
Entity Type: Individual
Name: Merle Leo Johnson, LISAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LISAC
Enumeration Date: Sep 27, 2006
Last Updated: May 3, 2013

Practice Location

Address: 12033 AGENCY RD
City: Parker
State: Arizona
ZIP Code: 85344-7718
Phone: (928) 669-3256

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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