Individual
ANICIA TASHEENA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
817 N DIXIE HWY, POMPANO BEACH, FL 33060-5621
(954) 785-8285
Mailing address
201 LAKE POINTE DR APT 206, OAKLAND PARK, FL 33309-3558
(754) 224-8052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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