person
Anita Marie Johnson, MED
Mental Health Counselor in Lexington, South Carolina
NPI 1205167590

Anita Marie Johnson is a Mental Health Counselor based in Lexington, SC and is specialized in Mental Health. Anita Marie Johnson practices in Lexington, SC and has the professional credentials of MED. The NPI Number for Anita Marie Johnson is 1205167590 and holds a License No. (South Carolina).

The current practice location address for Anita Marie Johnson is 301 Palmetto Park Blvd, Lexington, SC and can be reached out via phone at 803-996-1507 and via fax at 803-996-1510.

Location: 301 Palmetto Park Blvd, Lexington, SC, 29072-7872
person
Provider Profile Details
NPI Number
1205167590
Provider Name
Anita Marie Johnson
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
301 Palmetto Park Blvd, Lexington, SC, 29072-7872
Phone Number
803-996-1507
Fax Number
803-996-1510
Provider Enumeration Date
01/26/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
322842 05 SC
institution
Provider Business Practice Location Address Details
Address
301 Palmetto Park Blvd
City
State
Zip
29072-7872
Phone Number
803-996-1507
Fax Number
803-996-1510
person
Provider Business Mailing Address Details
Address
301 Palmetto Park Blvd
City
State
Zip
29072-7872
Phone Number
803-996-1507
Fax Number
803-996-1510
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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