Individual provider · Type 1 NPI
Timothy Bogart Johnson
Professional Counselor · Las Vegas, NV
NPI number
1649555392
Active
Practice location
3785 E Sunset Rd Ste 10
Las Vegas, NV 89120-6260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1649555392
Timothy Bogart Johnson's National Provider Identifier is 1649555392, issued on Oct 13, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Las Vegas, NV. The record was last updated on Oct 13, 2011.