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NPI Code Detail

MEDICARE: MS. YOULANDA YEVETTE JOHNSON

MEDICARE:  MS. YOULANDA YEVETTE JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1508196882
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. YOULANDA YEVETTE JOHNSON
Provider Business Mailing Address
First Line : 1120 INDIAN HEDGE DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-7665
Country : US
Telephone Number : 702-808-8641
Fax Number :
Provider Business Practice Location Address
First Line : 1120 INDIAN HEDGE DR
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-7665
Country : US
Telephone Number : 702-808-8641
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2010
Last Update Date : 03/07/2011

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Directions to “ MS. YOULANDA YEVETTE JOHNSON ” Practice Location

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