Individual
WARD D JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
45 N COUNTRY CLUB RD, BREVARD, NC 28712-8908
(619) 584-1725
(619) 584-4697
Mailing address
5100 MARLBOROUGH DR, SAN DIEGO, CA 92116-2020
(619) 584-1725
(619) 584-4697
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1208
NC
106H00000X
Marriage & Family Therapist
MFT12245
CA
Other
Enumeration date
10/24/2006
Last updated
11/28/2011
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