Johnson, Suezan L

Johnson, Suezan L is an individual health care provider with primary practice located at 1515 N 400 E Ste 104 , North Logan UT 84341-7595. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Johnson, Suezan L can be contacted via phone (435) 755-6061.

Contact Information

Primary practice address
1515 N 400 E Ste 104 North Logan UT 84341-7595
Phone: (435) 755-6061
Fax: (435) 755-6091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 126457-3501 Utah
Behavioral Health & Social Service Providers / Social Worker 104100000X LCSW-39191 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-39191 Idaho
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1264573501 Utah

Profile Details

NPI number 1770513962
LBN Legal business name Johnson, Suezan L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jan 16th, 2024 - about 2 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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