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Organization

KELLY-JOHNSON COUNSELING, LLC

Active
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Organization

KELLY-JOHNSON COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JULIET MARIE JOHNSON LCSW (LICENSED CLINICAL SOCIAL WORKER)
(813) 765-9678
Entity
Organization

Contact information

Practice address
3802 EHRLICH RD STE 304, TAMPA, FL 33624-2355
(813) 765-9678
Mailing address
3802 EHRLICH RD, SUITE 304, TAMPA, FL 33624
(813) 765-9678

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396996096
NPI FOR JULIET M. JOHNSON, LCSW: 1396996096
FL
Enumeration date
02/26/2009
Last updated
02/26/2009
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