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Individual

FELICITY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
1108 POPLAR PL, ROGERS, AR 72756-4249
(479) 372-6464
(479) 372-6460
Mailing address
2809 FOREST HOME RD, JONESBORO, AR 72401-5320
(866) 972-1268

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A2202008
AR
101YP2500X
Professional Counselor
Primary
P2311018
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
313665719
AR
Enumeration date
01/04/2022
Last updated
03/11/2024
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