Individual
MRS. RONDA SWANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
106 LEE ST NE, SUITE C, DECATUR, AL 35601-1759
(256) 340-0300
Mailing address
PO BOX 1043, DECATUR, AL 35602-1043
(256) 340-0300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1585
AL
101YP2500X
Professional Counselor
Primary
1585
AL
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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