Individual
MRS. LEO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 BRIGHTON HILL RD, COLUMBIA, SC 29223-7987
(803) 898-0210
Mailing address
90 BRIGHTON HILL RD, COLUMBIA, SC 29223-7987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2017
Last updated
05/09/2017
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