Individual
ANGELA MARIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
506 HOPKINSVILLE ST, GREENVILLE, KY 42345-1104
(270) 338-5211
(270) 338-1624
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
25280
KY
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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