Individual
DR. TABITHA RENEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LMFT
Contact information
Practice address
2950 HALCYON LN, SUITE #605, JACKSONVILLE, FL 32223-6689
(904) 302-5340
(904) 800-1211
Mailing address
2950 HALCYON LN, SUITE #605, JACKSONVILLE, FL 32223-6689
(904) 302-5340
(904) 800-1211
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/17/2009
Last updated
11/08/2016
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