Individual
ANDRIEAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, CAMS, CCTP
Contact information
Practice address
1222 CLOCK ST, JACKSONVILLE, FL 32211-8853
(904) 577-0087
(844) 846-2463
Mailing address
7643 GATE PKWY STE 104-1139, JACKSONVILLE, FL 32256-3092
(904) 577-0087
(844) 846-2463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14518
FL
101YM0800X
Mental Health Counselor
IMH11851
FL
101YM0800X
Mental Health Counselor
Primary
MH14518
FL
Other
Enumeration date
03/24/2014
Last updated
10/17/2022
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