Suezan L Johnson, LCSW
Social Worker, Clinical in North Logan, UT. Individual provider (NPI-1).
Details
- NPI
- 1770513962
- Entity type
- Individual (NPI-1)
- Name
- Ms. Suezan L Johnson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2006
- Certification date
- Jan 16, 2024
- Last updated
- Jan 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 1264573501 | UT | Yes |
| 104100000X | Social Worker | 126457-3501 | UT | |
| 104100000X | Social Worker | LCSW-39191 | ID | |
| 1041C0700X | Social Worker, Clinical | LCSW-39191 | ID |
Practice location
1515 N 400 E Ste 104North Logan, UT 84341-7595
Phone 435-755-6061 · Fax 435-755-6091
Mailing address
517 W 100 N Ste 210Providence, UT 84332-9826
Phone 435-755-6061 · Fax 435-994-8362
Other practice locations
Garden City, UT 84028-7754
Phone 435-946-3660 · Fax 435-946-8215
Brigham City, UT 84302-2109
Phone 435-723-7999 · Fax 435-723-7331
Randolph, UT 84064-7701
Phone 435-755-6061 · Fax 435-994-3806
Providence, UT 84332-9826
Phone 435-755-6075 · Fax 435-723-7331
Montpelier, ID 83254-1538
Phone 208-847-2108 · Fax 208-847-2109
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All 18 Clinical Social Worker providers in North Logan · All 185 providers in North Logan
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