Individual
MR. SHELBY KRISTAFER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP, NCC
Contact information
Practice address
2180 UNION AVE, MEMPHIS, TN 38104-4205
(901) 276-2200
Mailing address
2180 UNION AVE, MEMPHIS, TN 38104-4205
(901) 276-2200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5940
TN
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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