Individual
MS. SATONIA RENAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IMH
Contact information
Practice address
7413 SHERREN DR., TAMPA, FL 33619-4737
(813) 417-9162
Mailing address
7413 SHERREN DR, TAMPA, FL 33619-4737
(813) 417-9162
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
IMH 14002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMH 14002
REGISTERED MENTAL HEALTH COUNSELOR INTERN
FL
Enumeration date
10/07/2015
Last updated
10/07/2015
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