Individual provider · Type 1 NPI

Ken Ferrell Johnson Jr., PSYD

Mental Health Counselor · Amelia Island, FL

NPI number 1841414547 Active

Practice location

5422 1st Coast Hwy, Ste 119
Amelia Island, FL 32034-5423

Fax (904) 432-7088

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5548 (FL)
Addiction (Substance Use Disorder) Counselor 101YA0400X5548 (FL)
Psychologist 103T00000X5548 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1841414547

Ken Ferrell Johnson Jr., PSYD's National Provider Identifier is 1841414547, issued on Apr 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Amelia Island, FL. The record was last updated on Jan 21, 2015.