Individual
PAMELA H. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5211 HIGHWAY 153, SUITE C, HIXSON, TN 37343-4956
(423) 870-0085
(423) 870-3411
Mailing address
5211 HIGHWAY 153, SUITE C, HIXSON, TN 37343-4956
(423) 870-0085
(423) 870-3411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IP 54
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065780
BCBS TN
TN
Enumeration date
11/03/2006
Last updated
07/08/2007
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