Individual
FREDERICK LEON JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
1278 W US HIGHWAY 40, ODESSA, MO 64076-9612
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018003971
MO
Other
Enumeration date
02/04/2018
Last updated
04/19/2018
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