Tina Johnson's National Provider Identifier (NPI) Details
Tina Johnson, LCSW
NPI: 1255062543
Enumeration Date: 2019-01-08
Last updated: 2021-10-29
Sole Proprietor: YES
Status: active
Postal Address: 2008 OAK GROVE RD APT 10, HATTIESBURG, MS
Phone: 832-740-9198
Primary Practice Address: 2008 OAK GROVE RD APT 10, HATTIESBURG, MS
Practice's phone: 832-740-9198