Doctor Name: | MS. SUSANNE CATHERINE JOHNSON |
NPI Number: | 1457479578 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | LPC-12110 |
Business Practice Address: | 11 Sundial Circle Suite #4 Carefree, AZ - 85377 |
Business Phone Number: | 6233402342 |
Business Fax Number: | |
Mailing Address: | 6250 E Dove Valley Rd, CAVE CREEK |
State: | AZ |
Postal Code: | 853315200 |
Phone Number: | 4804882342 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC-12110 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |