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Individual
DR. KEN FERRELL JOHNSON JR.
Active
Individual
DR. KEN FERRELL JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5548
FL
101YM0800X
Mental Health Counselor
Primary
5548
FL
103T00000X
Psychologist
5548
FL
Other
Enumeration date
04/12/2007
Last updated
01/21/2015
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