Johnson, Ellen M

Johnson, Ellen M is an sole proprietor health care provider with primary practice located at 40 E Center St Ste 12 , Fallon NV 89406-3474. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Johnson, Ellen M can be contacted via phone (775) 432-7995.

Contact Information

Primary practice address
40 E Center St Ste 12 Fallon NV 89406-3474
Phone: (775) 432-7995
Fax: (775) 420-4408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 00530-LC Nevada
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2589 Nevada

Profile Details

NPI number 1619399532
LBN Legal business name Johnson, Ellen M
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2014
Last updated Apr 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619399532 NPPES
Nevada Other 00530-LC STATE OF NV BOARD OF EXAMINERS FOR ALCOHOL, DRUG AND GAMBLING COUNSELORS
Nevada Other 2589 STATE OF NV BOARD OF EXAMINERS FOR ALCOHOL, DRUG AND GAMBLING COUNSELORS

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