Individual
WENDY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 GUESS LN, ST MATTHEWS, SC 29135-8410
(803) 874-2301
Mailing address
2319 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2042
(803) 536-1571
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
576000922
SC
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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