Individual
SHONDA FULWOOD-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1068 S LAKE DR, LEXINGTON, SC 29073-3720
(803) 726-9417
Mailing address
1068 S LAKE DR, LEXINGTON, SC 29073-3720
(803) 726-9417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/27/2015
Last updated
09/23/2022
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