Individual
AMANDA GIORDANO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4777 LAKELAND HIGHLANDS RD, LAKELAND, FL 33813-3126
(863) 619-7690
Mailing address
2240 TALL GRASS AVE, BARTOW, FL 33830-2945
(617) 291-5001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH23587
FL
Other
Enumeration date
02/11/2025
Last updated
03/17/2025
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