Individual
ERICA RAQUEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3516 VANN RD STE 106, BIRMINGHAM, AL 35235-3276
(205) 529-9894
(205) 900-8793
Mailing address
3215 TRACE WAY, TRUSSVILLE, AL 35173-2334
(205) 529-9894
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4639
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4639
ALABAMA BOARD OF EXAMINERS IN COUNSELING
AL
Enumeration date
04/19/2022
Last updated
04/19/2022
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