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Individual

MR. DAVID ANDREW JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LMFT

Contact information

Practice address
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Mailing address
205 HOSPITAL DR, SUITE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW3525
TN
106H00000X
Marriage & Family Therapist
Primary
LMFT917
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1522068
TN
01
3380640
GROUP MEDICAID
TN
Enumeration date
08/04/2006
Last updated
11/20/2025
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