Individual
SHANNON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207-8030
(904) 448-4700
Mailing address
5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32207-8030
(904) 448-4700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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