Individual
IRIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N PIKE W, SUMTER, SC 29153-1906
(803) 572-8280
Mailing address
204 GREENEEDLE RD, COLUMBIA, SC 29229-7684
(803) 587-5938
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
864
SC
Other
Enumeration date
02/23/2015
Last updated
07/16/2025
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