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Mr. Kevin William Johnson
Mental Health Counselor in St Petersburg, Florida
NPI 1073949400

Kevin William Johnson is a Mental Health Counselor based in St. Petersburg, FL and is specialized in Mental Health. Kevin William Johnson practices in St Petersburg, FL. The NPI Number for Kevin William Johnson is 1073949400 and holds a License No. (Florida).

The current practice location address for Kevin William Johnson is 1147 16Th St N, St Petersburg, FL and can be reached out via phone at 727-328-4003.

Location: 1147 16Th St N, St Petersburg, FL, 33705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073949400
Provider Name
Kevin William Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1147 16Th St N, St Petersburg, FL, 33705
Phone Number
727-328-4003
Fax Number
Provider Enumeration Date
09/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1147 16Th St N
City
St Petersburg
State
Florida
Zip
33705-1104
Phone Number
727-328-4003
Fax Number
person
Provider Business Mailing Address Details
Address
1147 16Th St N
City
St Petersburg
State
Florida
Zip
33705-1104
Phone Number
727-328-4003
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(Florida)
Definition
Definition to come...
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