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Individual

MRS. SANDY MICHELLE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. LPC, NCC, CCTP

Contact information

Practice address
1293 PROFESSIONAL DR STE A-101, MYRTLE BEACH, SC 29577-5754
(843) 605-0514
(843) 962-5570
Mailing address
1293 PROFESSIONAL DR STE A101, MYRTLE BEACH, SC 29577-5754
(843) 213-1307
(843) 962-5570

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6595
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PC-1874
SC
Enumeration date
06/06/2014
Last updated
06/18/2022
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