Individual
DR. CANDACE K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 ORANGE AVE, ROCKLEDGE, FL 32955-2914
(321) 631-7032
Mailing address
42 ORANGE AVE, ROCKLEDGE, FL 32955-2914
(321) 631-7032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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