Individual
MRS. ELISHA MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
1135 GREGG HWY NW, AIKEN, SC 29801-6341
(803) 641-7700
(803) 641-7709
Mailing address
826 NEAR CREEK DR, BLYTHEWOOD, SC 29016-6905
(910) 257-8172
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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