Doctor Name: | MR. DAVID LEE JOHNS |
NPI Number: | 1679586655 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC, NBCFCH |
License Number: | MH1084 |
Business Practice Address: | 465 Summerhaven Dr Suite A Debary, FL - 327135211 |
Business Phone Number: | 4079708814 |
Business Fax Number: | 8883867037 |
Mailing Address: | 2120 Hollowridge Dr, ORANGE CITY |
State: | FL |
Postal Code: | 327639227 |
Phone Number: | 4079708814 |
Fax Number: | 8883867036 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 02/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH1084 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |