Individual
MICHAEL K JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 PROFESSIONAL DR STE 8, PORT ROYAL, SC 29935-1104
(854) 245-0184
(980) 303-2682
Mailing address
11 PARKLANDS DR UNIT 1737, BLUFFTON, SC 29910-5193
(854) 245-0184
(980) 303-2682
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13893
NC
101YM0800X
Mental Health Counselor
A13893
NC
101YP2500X
Professional Counselor
Primary
8612
SC
Other
Enumeration date
03/27/2018
Last updated
11/05/2024
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