Individual
MS. JEAN CAROL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
4408 DELWOOD LN, PANAMA CITY, FL 32408-7492
(850) 636-7087
Mailing address
96 WHISPERING LAKE DR, SANTA ROSA BEACH, FL 32459-4286
(936) 689-0914
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9929
TX
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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