person
Mrs. Shannon Moore Johnson, LISAC,BA
Addiction (Substance Use Disorder) Counselor in Parker, Arizona
NPI 1568550077

Shannon Moore Johnson is an Addiction (Substance Use Disorder) Counselor based in Parker, AZ and is specialized in Addiction (Substance Use Disorder). Shannon Moore Johnson practices in Parker, AZ and has the professional credentials of LISAC,BA. The NPI Number for Shannon Moore Johnson is 1568550077 and holds a License No. LISAC0725 (Arizona).

The current practice location address for Shannon Moore Johnson is 12033 Agency Rd Ste 730, Parker, AZ and can be reached out via phone at 928-669-3256 and via fax at 928-669-3252.

Location: 12033 Agency Rd Ste 730, Parker, AZ, 85344-7718
person
Provider Profile Details
NPI Number
1568550077
Provider Name
Shannon Moore Johnson
Credential
LISAC,BA
Provider Entity Type
Individual
Gender
Female
Address
12033 Agency Rd Ste 730, Parker, AZ, 85344-7718
Phone Number
928-669-3256
Fax Number
928-669-3252
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
893885 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
12033 Agency Rd Ste 730
City
State
Zip
85344-7718
Phone Number
928-669-3256
Fax Number
928-669-3252
person
Provider Business Mailing Address Details
Address
12033 Agency Rd Ste 730
City
State
Zip
85344-7718
Phone Number
928-669-3256
Fax Number
928-669-3252
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC0725 ()
Definition
Definition to come...
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