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Individual

TIERAINIE C JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, MCAP

Contact information

Practice address
6028 CHESTER AVE STE 207, JACKSONVILLE, FL 32217-2285
(904) 944-1269
(904) 659-8255
Mailing address
1650 MARGARET ST STE 302-320, JACKSONVILLE, FL 32204-3868
(904) 944-1269
(904) 659-8255

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MCAP.0101306
FL

Other

Enumeration date
12/30/2025
Last updated
12/30/2025
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