Individual
ANGELA K JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1835 N GILMORE AVE, LAKELAND, FL 33831-1559
(863) 248-3300
(863) 413-2719
Mailing address
PO BOX 1559, PEACE RIVER CENTER, DARTOW, FL 33831-1559
(863) 519-0575
(863) 519-0788
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH8041
FL
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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