Most Relevant Information
Provider Data
| NPI Number: | 1003228362 |
| Provider Name: | MARCUS JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/21/2014 |
| Last Updated: | 05/21/2014 |
Provider Practice Location
6360 S PECOS RD STE 4
LAS VEGAS
NV
891203295
Practice Location Phone/Fax
| Phone: | 7028163400 |
| Fax: |
Provider Mailing Location
6360 S PECOS RD STE 4
LAS VEGAS
NV
891203295
Provider Mailing Phone/Fax
| Phone: | 7028163400 |
| Fax: |