Individual
PEGGY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 NW 31ST AVE UNIT 6, POMPANO BEACH, FL 33069-2518
(754) 234-6100
Mailing address
2827 N COURSE DR, POMPANO BEACH, FL 33069-3081
(754) 234-6100
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YS0200X
School Counselor
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
176P00000X
Funeral Director
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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