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Individual

ALICIA RENAE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. LMFT

Contact information

Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(405) 293-8084
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(405) 293-8084

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
Primary
1382
OK

Other

Enumeration date
01/04/2019
Last updated
08/15/2022
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