Individual
MR. REGINALD A. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4485 WESTMINSTER PL, SAINT LOUIS, MO 63108-1812
(314) 361-0477
(314) 830-4630
Mailing address
1227 GARDEN VILLAGE DR, FLORISSANT, MO 63031-1962
(314) 503-7608
(314) 830-4630
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2006000741
MO
101YA0400X
Addiction (Substance Use Disorder) Counselor
2006000741
MO
101YP1600X
Pastoral Counselor
2006000741
MO
101YP2500X
Professional Counselor
Primary
2006000741
MO
101YS0200X
School Counselor
2006000741
MO
Other
Enumeration date
03/08/2006
Last updated
11/12/2008
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