Individual
CAMILLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 NW 8TH AVE, GAINESVILLE, FL 32601-4967
(352) 513-8551
Mailing address
1150 NW 8TH AVE, GAINESVILLE, FL 32601-4967
(352) 513-8551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH22323
FL
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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