Individual
LATOYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
289 SE GREG PL, LAKE CITY, FL 32025-6380
(386) 466-5587
Mailing address
289 SE GREG PL, LAKE CITY, FL 32025-6380
(386) 466-5587
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/01/2015
Last updated
01/01/2015
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