Individual
MS. YOLANDA C JOHNSON-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
304 MAIN ST, CROSSETT, AR 71635
(870) 500-2324
Mailing address
PO BOX 971, CROSSETT, AR 71635-0971
(870) 500-1997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6815-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227892719
—
AR
01
—
5CW73
BCBS
AR
Enumeration date
09/10/2008
Last updated
01/03/2020
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