Provider Information for 1083972855
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TONYA LYNN JOHNSON MA, LPC
Sex: Female
NPI: 1083972855
Last Updated: 2012-04-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1083972855 | ||||||||
| Enumeration Date | 2012-04-30 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3505 OLSEN BLVD AMARILLO, TX 79109-3042 United States Phone: 806-291-7910 | Fax:806-354-0011 | ||||||||
| Primary Practice Address | 401 S VIRGINIA ST AMARILLO, TX 79106-8860 United States Phone: 806-291-7910 | Fax:806-354-0011 | ||||||||
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