Individual
LINDA HAMMETT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
615 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 930-9090
(870) 931-4581
Mailing address
615 E MATTHEWS AVE, JONESBORO, AR 72401-3145
(870) 930-9090
(870) 931-4581
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1291-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X602
BLUECROSS BLUESHIELD
AR
Enumeration date
08/15/2006
Last updated
05/28/2010
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