Individual
SHANAUTICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 FLORIDA AVE APT 81, GREENWOOD, SC 29646-4446
(864) 396-6352
Mailing address
235 FLORIDA AVE APT 81, GREENWOOD, SC 29646-4446
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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