Individual
HEATHER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
325 13TH ST, DUNBAR, WV 25064-3035
(304) 553-1055
Mailing address
PO BOX 178, HURRICANE, WV 25526-0178
(304) 553-1055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00944473
WV
Other
Enumeration date
10/03/2023
Last updated
02/04/2025
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