Individual
ANNESHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2940 E PARK AVE, TALLAHASSEE, FL 32301-3446
(850) 643-1033
(850) 643-5066
Mailing address
2014 MIDYETTE RD APT 205, TALLAHASSEE, FL 32301-6255
(786) 566-1707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041S0200X
School Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104150200X
—
FL
Enumeration date
09/19/2018
Last updated
08/09/2021
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