Individual
SHANTELL ALEAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
514 DONALD ST, GOODLETTSVILLE, TN 37072-2036
(615) 859-8950
Mailing address
1109 WOODLAND STREET, #60101, NASHVILLLE, TN 37206-0101
(810) 887-9406
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4872
TN
Other
Enumeration date
08/30/2017
Last updated
06/22/2020
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