Individual
TIFFANY DEANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2638 TWO NOTCH RD STE 210, COLUMBIA, SC 29204-1454
(803) 983-5262
Mailing address
532 OAKBROOK VILLAGE RD, COLUMBIA, SC 29223-4236
(038) 983-5262
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7296
SC
101YP2500X
Professional Counselor
Primary
8359
SC
Other
Enumeration date
10/25/2021
Last updated
03/06/2025
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