Individual
EDDIE LEVON JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
5443 SILVER CHARM TER, WESLEY CHAPEL, FL 33544-1536
(813) 966-5998
Mailing address
5443 SILVER CHARM TER, WESLEY CHAPEL, FL 33544-1536
(813) 966-5998
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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