person
Charles D Johnson, LPC
Professional Counselor in Cape Girardeau, Missouri
NPI 1790871234

Charles D Johnson is a Professional Counselor based in Cape Girardeau, MO and is specialized in Professional. Charles D Johnson practices in Cape Girardeau, MO and has the professional credentials of LPC. The NPI Number for Charles D Johnson is 1790871234 and holds a License No. 000059 (Missouri).

The current practice location address for Charles D Johnson is 402 South Silver Springs Road, Cape Girardeau, MO and can be reached out via phone at 573-334-1100 and via fax at 573-334-8819.

Location: 402 South Silver Springs Road, Cape Girardeau, MO, 63703
person
Provider Profile Details
NPI Number
1790871234
Provider Name
Charles D Johnson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
402 South Silver Springs Road, Cape Girardeau, MO, 63703
Phone Number
573-334-1100
Fax Number
573-334-8819
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
197666 01 MO BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
402 South Silver Springs Road
City
State
Zip
63703
Phone Number
573-334-1100
Fax Number
573-334-8819
person
Provider Business Mailing Address Details
Address
402 South Silver Springs Road
City
State
Zip
63703
Phone Number
573-334-1100
Fax Number
573-334-8819
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
000059 (Missouri)
Definition
Definition to come...
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