| Doctor Name: | SARAH JOHNSON |
| NPI Number: | 1306141452 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LMHC |
| License Number: | MH 10369 |
| Business Practice Address: | 105 S 9th Ave Wauchula, FL - 338732809 |
| Business Phone Number: | 8637730002 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 1055, WAUCHULA |
| State: | FL |
| Postal Code: | 338732809 |
| Phone Number: | 8634486764 |
| Fax Number: | 8637676539 |
| NPI Enumeration Date: | 01/21/2011 |
| NPI Last Update Date: | 01/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 10369 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |