Individual
STEPHEN ANDREW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
9471 BAYMEADOWS RD STE 301, JACKSONVILLE, FL 32256-7936
(904) 503-2634
(904) 503-2637
Mailing address
9471 BAYMEADOWS RD STE 301, JACKSONVILLE, FL 32256-7936
(904) 503-2634
(904) 503-2637
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP 5369
FL
101YM0800X
Mental Health Counselor
3932-125
WI
101YM0800X
Mental Health Counselor
PMH 1054
FL
104100000X
Social Worker
Primary
4355-120
WI
Other
Enumeration date
12/29/2006
Last updated
10/15/2013
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