Most Relevant Information
Provider Data
| NPI Number: | 1003525700 |
| Provider Name: | LUVENIA JOHNSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 164881 |
Most Important Dates
| Enumeration Date: | 11/21/2022 |
| Last Updated: | 11/21/2022 |
Provider Practice Location
122 1ST AVE
FAIRBANKS
AK
997014871
Practice Location Phone/Fax
| Phone: | 9074528251 |
| Fax: | 9074593939 |
Provider Mailing Location
PO BOX 94429
SEATTLE
WA
981246729
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |