Individual
MRS. PAMELA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CAP
Contact information
Practice address
1000 MIDDLE ST, FT LAUDERDALE, FL 33312-7134
(954) 831-1547
Mailing address
3100 NW 88TH AVE APT 103, SUNRISE, FL 33351-7325
(954) 741-1244
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2628
FL
1041C0700X
Clinical Social Worker
SW 8187
FL
Other
Enumeration date
05/24/2007
Last updated
09/11/2025
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