Individual
GLENDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
200 OFFICE PARK DR, MOUNTAIN BRK, AL 35223-2418
(659) 212-6916
Mailing address
520 PARK VILLAGE LN, ALABASTER, AL 35007-7763
(832) 633-1921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11021
NC
101YP2500X
Professional Counselor
63535
TX
101YP2500X
Professional Counselor
LPC05232
AL
Other
Enumeration date
12/14/2023
Last updated
07/19/2024
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