Individual provider · Type 1 NPI

Jefkida Lasha Johnson

Mental Health Counselor · Jacksonville Beach, FL

NPI number 1639690381 Active

Practice location

320 1st St N Ste 612
Jacksonville Beach, FL 32250-6947

Fax (888) 856-7677

Mailing address

7007 Potsdam Ct
Montgomery, AL 36117-8028

Other practice locations

  • 7007 Potsdam Ct, Montgomery, AL 36117-8028 · (334) 320-0084

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor 101YM0800XNone listed
Counseling Psychologist 103TC1900XNone listed
Marriage & Family Therapist 106H00000XNone listed
Marriage & Family Therapist 106H00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1639690381

Jefkida Lasha Johnson's National Provider Identifier is 1639690381, issued on Jul 3, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Apr 26, 2022.