Individual provider · Type 1 NPI

Porsche T. Johnson

Counselor · Glendale, AZ

NPI number 1154813558 Active

Practice location

17505 N 79th Ave Ste 410
Glendale, AZ 85308-8732

Mailing address

2649 N 73rd Dr
Phoenix, AZ 85035-3253

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLAC-16824 (AZ)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1154813558

Porsche T. Johnson's National Provider Identifier is 1154813558, issued on May 31, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Glendale, AZ. The record was last updated on May 31, 2018.