Individual
ANGELA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,NCC,IQCI
Contact information
Practice address
12315 OLD ORCHARD RD, MADISON, AL 35756-5228
(256) 656-6368
Mailing address
12315 OLD ORCHARD RD, MADISON, AL 35756-5228
(256) 656-6368
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3809
AL
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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