Individual
LINDA MITCHELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
200 ELM ST, CONWAY, SC 29526-5118
(843) 678-7747
(843) 488-1616
Mailing address
713 SAINT GEORGE DR, FLORENCE, SC 29505-3639
(843) 678-7747
(843) 488-1616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2172
SC
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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