Individual
MRS. JUDY ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP, LCAS, CCS
Contact information
Practice address
5736 MANCHESTER HWY, MORRISON, TN 37357-7503
(931) 815-3872
Mailing address
419 ECKLES CEMETERY RD, LIVINGSTON, TN 38570-5103
(931) 498-5925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
257
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
710
NC
101YM0800X
Mental Health Counselor
Primary
2439
TN
101YM0800X
Mental Health Counselor
3583
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510696
—
TN
Enumeration date
12/22/2006
Last updated
11/03/2010
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