Individual
MR. JOHNATHAN ANTHONY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
1101 KERMIT DR STE 511, NASHVILLE, TN 37217-5110
(615) 601-0580
(615) 777-3360
Mailing address
1004 HICKORY HILL LN STE 3, HERMITAGE, TN 37076-1931
(615) 601-0580
(615) 777-3360
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2098
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528040
—
TN
01
—
45-5143984
IRS
—
Enumeration date
02/06/2007
Last updated
12/04/2024
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