SearchNew Mexico101Y00000X

Theodore Johnson

NPI 1447070032 · on the registry since 2024

Practice

Address
525 2nd St Sw
Albuquerque, NM 87102
Phone
(505) 585-3882
Fax
(505) 407-8375
Organisation at this address
Rise Up New Mexico Behavioral Health Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Male
Record last updated
2024-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico