Individual
TEENA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
20400 COLONEL GLENN RD, LITTLE ROCK, AR 72210-5323
(501) 821-5500
Mailing address
20400 COLONEL GLENN RD, LITTLE ROCK, AR 72210-5323
(501) 821-5500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2107010
AR
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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