Individual
JOHNSON ONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 N GOLDENROD RD, WINTER PARK, FL 32792-8823
(407) 244-0002
Mailing address
PO BOX 916481, LONGWOOD, FL 32791-6481
(407) 929-0641
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT3685
FL
Other
Enumeration date
03/24/2023
Last updated
04/17/2023
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