Individual
MRS. ANGEL SHANIECE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
190 LIME QUARRY RD, MADISON, AL 35758-8962
(256) 270-9483
Mailing address
107 FENTON CIR, MADISON, AL 35756-3581
(205) 356-6488
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4595
AL
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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