person
Merle Leo Johnson, LISAC
Addiction (Substance Use Disorder) Counselor in Parker, Arizona
NPI 1992896542

Merle Leo Johnson is an Addiction (Substance Use Disorder) Counselor based in Parker, AZ and is specialized in Addiction (Substance Use Disorder). Merle Leo Johnson practices in Parker, AZ and has the professional credentials of LISAC. The NPI Number for Merle Leo Johnson is 1992896542 and holds a License No. LISAC-0884 (Arizona).

The current practice location address for Merle Leo Johnson is 12033 Agency Rd, Parker, AZ and can be reached out via phone at 928-669-3256 and via fax at 928-669-5449.

Location: 12033 Agency Rd, Parker, AZ, 85344
person
Provider Profile Details
NPI Number
1992896542
Provider Name
Merle Leo Johnson
Credential
LISAC
Provider Entity Type
Individual
Gender
Male
Address
12033 Agency Rd, Parker, AZ, 85344
Phone Number
928-669-3256
Fax Number
928-669-5449
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
917528 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
12033 Agency Rd
City
State
Zip
85344-7718
Phone Number
928-669-3256
Fax Number
928-669-5449
person
Provider Business Mailing Address Details
Address
12033 Agency Rd
City
State
Zip
85344-7718
Phone Number
928-669-3256
Fax Number
928-669-5449
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC-0884 (Arizona)
Definition
Definition to come...
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