person
Mr. Timothy Johnson SR., BACHELOROFPSYCHOLO
Mental Health Counselor in Chesterfield, South Carolina
NPI 1891393708

Timothy Johnson SR. is a Mental Health Counselor based in Bennettsville, SC and is specialized in Mental Health. Timothy Johnson SR. practices in Chesterfield, SC and has the professional credentials of BACHELOROFPSYCHOLO. The NPI Number for Timothy Johnson SR. is 1891393708 and holds a License No. (South Carolina).

The current practice location address for Timothy Johnson SR. is 207 Perry Wiley Way, Chesterfield, SC and can be reached out via phone at 843-423-8292 and via fax at 843-423-8294.

Location: 207 Perry Wiley Way, Chesterfield, SC, 29512
person
Provider Profile Details
NPI Number
1891393708
Provider Name
Timothy Johnson SR.
Credential
BACHELOROFPSYCHOLO
Provider Entity Type
Individual
Gender
Male
Address
207 Perry Wiley Way, Chesterfield, SC, 29512
Phone Number
843-423-8292
Fax Number
843-423-8294
Provider Enumeration Date
10/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
405127 05 SC
251S00000X 05 SC
institution
Provider Business Practice Location Address Details
Address
207 Perry Wiley Way
City
State
Zip
29709
Phone Number
843-423-8292
Fax Number
843-423-8294
person
Provider Business Mailing Address Details
Address
207 Perry Wiley Way
City
State
Zip
29709
Phone Number
843-423-8292
Fax Number
843-423-8294
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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