Individual
NANCY L JOHNSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC/MHSP
Contact information
Practice address
691 WHITTENBURG DR, COLLIERVILLE, TN 38017-1637
(901) 830-5140
Mailing address
691 WHITTENBURG DR, COLLIERVILLE, TN 38017-1637
(901) 830-5140
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000000857
TN
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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