Individual
LISA MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
119 VERANDA WAY UNIT F, MURRELLS INLET, SC 29576-7931
(843) 429-0080
Mailing address
119 VERANDA WAY UNIT F, MURRELLS INLET, SC 29576-7931
(910) 234-5863
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6763
SC
101YP2500X
Professional Counselor
Primary
9741
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9741
S.C. BOARD OF EXAMINERS FOR LICENSURE OF PROFESSIONAL COUNSELORS, MARRIAGE & F
SC
Enumeration date
10/10/2018
Last updated
05/07/2024
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