person
Tita Johnson
Professional Counselor in Camden, South Carolina
NPI 1144563941

Tita Johnson is a Professional Counselor based in Camden, SC and is specialized in Professional. Tita Johnson practices in Camden, SC. The NPI Number for Tita Johnson is 1144563941 and holds a License No. 1208155 (South Carolina).

The current practice location address for Tita Johnson is 709 Mill St, Camden, SC and can be reached out via phone at 803-432-6902.

Location: 709 Mill St, Camden, SC, 29020-4738
person
Provider Profile Details
NPI Number
1144563941
Provider Name
Tita Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
709 Mill St, Camden, SC, 29020-4738
Phone Number
803-432-6902
Fax Number
Provider Enumeration Date
03/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AD22KE 05 SC
institution
Provider Business Practice Location Address Details
Address
709 Mill St
City
State
Zip
29020-4738
Phone Number
803-432-6902
Fax Number
person
Provider Business Mailing Address Details
Address
709 Mill St
City
State
Zip
29020-4738
Phone Number
803-432-6902
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5525 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1208155 (South Carolina)
Definition
Definition to come...
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