Individual
ALICIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
121 LEOPARD LN, BREVARD, NC 28712-8609
(843) 801-3892
Mailing address
121 LEOPARD LN, BREVARD, NC 28712-8609
(843) 801-3892
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7041
SC
Other
Enumeration date
03/06/2021
Last updated
03/06/2021
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