Doctor Name: | MS. NANCY S JOHNSON |
NPI Number: | 1740486497 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 3221 |
Business Practice Address: | 77 Beach Rd. Haines, AK - 99827 |
Business Phone Number: | 9077666381 |
Business Fax Number: | 9077666320 |
Mailing Address: | Po Box 888, HAINES |
State: | AK |
Postal Code: | 998270888 |
Phone Number: | 9077666381 |
Fax Number: | 9077666320 |
NPI Enumeration Date: | 06/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3221 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | AK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |