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1164162137
CHANELLE JOHNSON
GILBERT, AZ
NPI
1164162137
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Former Name
CHANELLE MARTIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: AZ LMFT-15735)
Enumeration Date
2022-03-29
Last Update Date
2023-09-14
Business Address
CHANELLE JOHNSON LMFT
3651 E BASELINE RD STE E222
GILBERT, AZ 85234-2689
Phone number: 480-712-9799
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Mailing Address
CHANELLE JOHNSON LMFT
PO BOX 9214
CHANDLER HEIGHTS, AZ 85127-9214
Phone number: 480-712-9799
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