Individual
TIFFANY DEANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
371 LAKE FRANCES DR, WEST COLUMBIA, SC 29170-3871
(803) 429-1259
Mailing address
371 LAKE FRANCES DR, WEST COLUMBIA, SC 29170-3871
(803) 429-1259
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8359
SC
Other
Enumeration date
01/17/2020
Last updated
04/23/2025
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