| Mrs Shannon Moore Johnson, LISAC, BA | |
|
12033 Agency Rd Ste 730, Parker, AZ 85344-7718 | |
| (928) 669-3256 | |
| (928) 669-3252 |
| Full Name | Mrs Shannon Moore Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 12033 Agency Rd Ste 730, Parker, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568550077 | NPI | - | NPPES |
| 893885 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC0725 (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shannon Moore Johnson, LISAC, BA 12033 Agency Rd Ste 730, Parker, AZ 85344-7718 Ph: (928) 669-3256 | Mrs Shannon Moore Johnson, LISAC, BA 12033 Agency Rd Ste 730, Parker, AZ 85344-7718 Ph: (928) 669-3256 |
Mr. Gerald Thomas Szymanski, M.A., LPC, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1017 S Laguna Ave, Parker, AZ 85344 Phone: 928-669-6906 Fax: 928-669-6909 | |
Mr. Lemuel Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12033 Agency Rd, Crit Behavior Health Services, Parker, AZ 85344 Phone: 928-669-5243 | |
Jacquelyn Dearth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1017 S Laguna Ave, Parker, AZ 85344 Phone: 928-669-6906 | |
Mrs. Virginia Beulke, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12033 Agency Rd, Parker, AZ 85344 Phone: 928-669-5243 Fax: 928-669-5549 | |
Mr. Arnie Ray Short, L.I.S.A.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12033 Agency Rd # 730, Parker, AZ 85344 Phone: 928-669-3256 Fax: 928-669-3252 | |
Mrs. Stephanie M. Lopez, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12302 Kennedy Dr, Parker, AZ 85344 Phone: 928-669-5243 Fax: 928-669-5549 |