SHANNON MOORE JOHNSON

PARKER, AZ
NPI1568550077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   LISAC0725)
Enumeration Date2006-10-10
Last Update Date2013-04-24
Business Address
Mrs. SHANNON MOORE JOHNSON LISAC, BA
12033 AGENCY RD STE 730
PARKER, AZ 85344-7718
Phone number: 928-669-3256
Mailing Address
Mrs. SHANNON MOORE JOHNSON LISAC, BA
12033 AGENCY RD STE 730
PARKER, AZ 85344-7718
Phone number: 928-669-3256