Individual
MR. JERMAINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S.
Contact information
Practice address
5452 TREIG LN, WESLEY CHAPEL, FL 33545
(813) 361-5628
Mailing address
5450 BRUCE B DOWNS BLVD SUITE 328, WESLEY CHAPEL, FL 33544
(813) 361-5628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
11/29/2016
Last updated
08/01/2019
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