Individual provider · Type 1 NPI

Sandra Lynn Johnson, LPC LLC

Professional Counselor · Mancos, CO

NPI number 1104420462 Active

Practice location

631 W Railroad Ave
Mancos, CO 81328-9049

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3424 (CO)

Professional Counselor: Definition to come...

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About NPI 1104420462

Sandra Lynn Johnson, LPC LLC's National Provider Identifier is 1104420462, issued on Nov 27, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mancos, CO. The record was last updated on Sep 4, 2024.