Antoinette V Johnson, REGISTERED MENTAL HE
Counselor, Mental Health in Leesburg, FL. Individual provider (NPI-1).
NPI number1508091968
StatusActive
Last updated in NPPESJul 17, 2013
Details
- NPI
- 1508091968
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Antoinette V Johnson
- Credential
- REGISTERED MENTAL HE
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2009
- Last updated
- Jul 17, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | IMH5785 | FL | Yes |
Practice location
10307 Pleasant View DrLeesburg, FL 34788-3853
Phone 352-742-7566
Mailing address
10307 Pleasant View DrLeesburg, FL 34788-3853
Phone 352-742-7566
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