Individual
MS. STEPHANIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCS
Contact information
Practice address
1053 PECAN RIDGE RD, FORT MILL, SC 29715-6816
(803) 496-4610
Mailing address
1053 PECAN RIDGE RD, FORT MILL, SC 29715-6816
(803) 496-4610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/10/2010
Last updated
02/15/2023
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