Individual provider · Type 1 NPI
Henrietta Johnson
Counselor · Lakeland, FL
NPI number
1861698292
Active
Practice location
1835 N Gilmore Avenue, Peace River Center
Lakeland, FL 33805
Fax (863) 413-2719
Mailing address
PO Box 1559, Peace River Center
Bartow, FL 33831-1559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2 other providers at this address
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About NPI 1861698292
Henrietta Johnson's National Provider Identifier is 1861698292, issued on Jun 22, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lakeland, FL. The record was last updated on Jul 8, 2007.