Individual
TAMELA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADC-IP
Contact information
Practice address
1439 THUNDERBOLT DRIVE WALTERBORO, SC 29488, 1439 THUNDERBOLT DRIVE WALTERBORO, SC 29488, WALTERBORO, SC 29488
(843) 538-4343
Mailing address
1439 THUNDERBOLT DRIVE WALTERBORO, SC 29488, P.O. BOX 1037, WALTERBORO, SC 29488
(843) 538-4343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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