Individual provider · Type 1 NPI

Kanisha Nathasha Johnson, MA

Mental Health Counselor · Columbia, SC

NPI number 1679053011 Active

Practice location

2000 Park St
Columbia, SC 29201-2011

Mailing address

264 Kings Cv
Locust Grove, GA 30248-3904

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X9956 (SC)
Mental Health Counselor 101YM0800X23271 (NC)
Mental Health Counselor Primary 101YM0800XLPC015663 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1679053011

Kanisha Nathasha Johnson, MA's National Provider Identifier is 1679053011, issued on Aug 15, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, SC. The record was last updated on Aug 16, 2026.