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Individual

ANTHONY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
12627 SAN JOSE BLVD STE 203, JACKSONVILLE, FL 32223-8638
(904) 463-0832
Mailing address
534 MAGNOLIA AVE, SAINT JOHNS, FL 32259-9018
(904) 463-0832

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH22964
FL

Other

Enumeration date
11/17/2023
Last updated
11/17/2023
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