Individual
SHANE M JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.ED.MIN., LMFT
Contact information
Practice address
2382 SADLER RD, FERNANDINA BEACH, FL 32034-4548
(904) 469-7706
Mailing address
96331 MONTEGO BAY, FERNANDINA BEACH, FL 32034-8481
(904) 557-0930
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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