Individual
ASHLEY O JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 MERCY DR, SUITE 302, ORLANDO, FL 32808-5646
(407) 875-3700
(407) 522-4671
Mailing address
1800 MERCY DR, SUITE 302, ORLANDO, FL 32808-5646
(407) 875-3700
(407) 522-4671
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17607262124
—
FL
Enumeration date
08/17/2011
Last updated
02/05/2024
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