person
Shannon Lee Johnson, MA
Mental Health Counselor in Moulton, Alabama
NPI 1902022841

Shannon Lee Johnson is a Mental Health Counselor based in Decatur, AL and is specialized in Mental Health. Shannon Lee Johnson practices in Moulton, AL and has the professional credentials of MA. The NPI Number for Shannon Lee Johnson is 1902022841 and holds a License No. (Alabama).

The current practice location address for Shannon Lee Johnson is 317 Hospital Street, Moulton, AL and can be reached out via phone at 256-355-6105 and via fax at 256-341-0747.

Location: 317 Hospital Street, Moulton, AL, 35601-4305
person
Provider Profile Details
NPI Number
1902022841
Provider Name
Shannon Lee Johnson
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
317 Hospital Street, Moulton, AL, 35601-4305
Phone Number
256-355-6105
Fax Number
256-341-0747
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051532124 01 AL BCBS OF AL PROVIDER #
institution
Provider Business Practice Location Address Details
Address
317 Hospital Street
City
State
Zip
35650
Phone Number
256-355-6105
Fax Number
256-341-0747
person
Provider Business Mailing Address Details
Address
317 Hospital Street
City
State
Zip
35650
Phone Number
256-355-6105
Fax Number
256-341-0747
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Alabama)
Definition
Definition to come...
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