MERLE LEO JOHNSON

PARKER, AZ
NPI1992896542
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-0884)
Enumeration Date2006-09-27
Last Update Date2013-05-03
Business Address
-- MERLE LEO JOHNSON LISAC
12033 AGENCY RD
PARKER, AZ 85344-7718
Phone number: 928-669-3256
Mailing Address
-- MERLE LEO JOHNSON LISAC
13376 1ST AVE
PARKER, AZ 85344
Phone number: 928-669-5243
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