Individual
MR. ERIC JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., L.M.F.T.
Contact information
Practice address
1101 W 3RD ST, FORDYCE, AR 71742-3014
(870) 352-5122
(870) 352-5127
Mailing address
1101 W 3RD ST, FORDYCE, AR 71742-3014
(870) 352-5122
(870) 352-5127
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
A0609064
AR
106H00000X
Marriage & Family Therapist
Primary
A0609064
AR
Other
Enumeration date
03/07/2007
Last updated
04/08/2008
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