Aundreia M Johnson
Counselor, Mental Health in Charleston, SC. Individual provider (NPI-1).
NPI number1407036635
StatusActive
Last updated in NPPESMar 15, 2018
Details
- NPI
- 1407036635
- Entity type
- Individual (NPI-1)
- Name
- Aundreia M Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2007
- Last updated
- Mar 15, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Aundreia M Johnson (Former Name)
Practice location
2100 Charlie Hall BlvdCharleston, SC 29414-5832
Phone 843-852-4100
Mailing address
2100 Charlie Hall BlvdCharleston, SC 29414-5832
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