| Doctor Name: | CHERYL A. JOHNSON |
| NPI Number: | 1184794307 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 511 W Moultrie St Winnsboro, SC - 291801436 |
| Business Phone Number: | 8037121649 |
| Business Fax Number: | |
| Mailing Address: | 4312 Ryan Ave, COLUMBIA |
| State: | SC |
| Postal Code: | 292033714 |
| Phone Number: | 8032563314 |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |