Individual
REBECCA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(850) 885-4551
Mailing address
MARTIN ARMY COMMUNITY HOSPTIAL, 6600 VAN AALST BLVD , BLDG, FT MOORE, GA 31905
(850) 885-4550
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3572
LA
1041C0700X
Clinical Social Worker
Primary
17533
FL
1041C0700X
Clinical Social Worker
CSW.09923986
CO
Other
Enumeration date
04/27/2006
Last updated
03/22/2024
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