Individual
MR. DANNY S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LCSW, LPC
Contact information
Practice address
2751 THOMAS DR STE 102, CAPE GIRARDEAU, MO 63701-2131
(573) 334-3486
(573) 334-3524
Mailing address
1952 PERRYVILLE RD, CAPE GIRARDEAU, MO 63701-2425
(573) 335-1438
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001716
MO
1041C0700X
Clinical Social Worker
000976
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148597
BLUE CROSS BLUE SHIELD
—
01
—
237961
COMPPSYCH
—
01
—
431823864
VALUE OPTIONS
—
01
—
433166
EPOCH
—
05
—
493267124
—
MO
01
—
6223868
UNITED HELATH CARE
—
Enumeration date
06/03/2006
Last updated
01/07/2020
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