Individual
RENESHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS-PSYCHOLOGY
Contact information
Practice address
1035 CHERAW ST, BENNETTSVILLE, SC 29512-2422
(843) 544-4060
Mailing address
PO BOX 918, BENNETTSVILLE, SC 29512-0918
(843) 544-4060
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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