Individual
CARMELLITA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3102 W END AVE, NASHVILLE, TN 37203-1301
(312) 476-9064
(312) 900-8230
Mailing address
PO BOX 752123, HOUSTON, TX 77275-2123
(312) 476-9064
(312) 900-8230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14393
TN
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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