Utrena Johnson
Counselor in Union, SC. Individual provider (NPI-1).
NPI number1780121095
StatusActive
Last updated in NPPESJan 24, 2017
Details
- NPI
- 1780121095
- Entity type
- Individual (NPI-1)
- Name
- Utrena Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2017
- Last updated
- Jan 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 103TC2200X | Psychologist, Clinical Child & Adolescent | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 172V00000X | Community Health Worker | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
719 N Duncan Byp Ste KUnion, SC 29379-8605
Phone 864-466-5428
Mailing address
719 N Duncan Byp Ste KUnion, SC 29379-8605
Phone 864-466-5428
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