Individual provider · Type 1 NPI
Deswood Johnson Jr., BSW
Counselor · Thoreau, NM
NPI number
1174809669
Active
Practice location
Bldg # T004-006 05 Miles East Of 371
Thoreau, NM 87323
Fax (505) 905-0064
Mailing address
211 S Florence St Trlr 48
Gallup, NM 87301-6763
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
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.
Other counselor providers in Thoreau
About NPI 1174809669
Deswood Johnson Jr., BSW's National Provider Identifier is 1174809669, issued on Oct 27, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Thoreau, NM. The record was last updated on Oct 27, 2011.