Doctor Name: | JOYCE ANN JOHNSON |
NPI Number: | 1336585108 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLPC |
License Number: | 2012037179 |
Business Practice Address: | 1125 Karsch Blvd. Farmington, MO - 636400173 |
Business Phone Number: | 5732189633 |
Business Fax Number: | 5732189636 |
Mailing Address: | 10152 Deering Rd., Po Box 322 TIFF |
State: | MO |
Postal Code: | 636740322 |
Phone Number: | 6365864567 |
Fax Number: | 6365864567 |
NPI Enumeration Date: | 05/20/2013 |
NPI Last Update Date: | 05/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 2012037179 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |