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Individual
MS. SHALAYNA JOHNSON
Active
Individual
MS. SHALAYNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PSYA00299
DC
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/30/2020
Last updated
02/16/2021
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