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NPI Code Detail

MEDICARE: SONJA LAFAY JOHNSON

MEDICARE: SONJA LAFAY 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
1101YP1600XPastoral Counselor

General Provider Information

NPI Number : 1598275984
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONJA LAFAY JOHNSON
Provider Business Mailing Address
First Line : 3656 N RANCHO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3172
Country : US
Telephone Number : 702-909-6200
Fax Number : 702-909-6216
Provider Business Practice Location Address
First Line : 3656 N RANCHO DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-3172
Country : US
Telephone Number : 702-909-6200
Fax Number : 702-909-6216
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2017
Last Update Date : 10/11/2017

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Directions to “ SONJA LAFAY JOHNSON ” Practice Location

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