Individual provider · Type 1 NPI

Sussane Johnson

Mental Health Counselor · Pueblo, CO

NPI number 1376709667 Active

Practice location

1026 W Abriendo Ave
Pueblo, CO 81004-1128

Call (719) 562-3222 Map

Fax (719) 545-4100

Mailing address

1304 Chinook Ln
Pueblo, CO 81001-1851

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376709667

Sussane Johnson's National Provider Identifier is 1376709667, issued on Aug 6, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pueblo, CO. The record was last updated on Aug 6, 2008.