| Doctor Name: | MR. REGINALD A. JOHNSON |
| NPI Number: | 1700853744 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 2006000741 |
| Business Practice Address: | 4485 Westminster Pl Saint Louis, MO - 631081812 |
| Business Phone Number: | 3143610477 |
| Business Fax Number: | 3148304630 |
| Mailing Address: | 1227 Garden Village Dr, FLORISSANT |
| State: | MO |
| Postal Code: | 630311962 |
| Phone Number: | 3145037608 |
| Fax Number: | 3148304630 |
| NPI Enumeration Date: | 03/08/2006 |
| NPI Last Update Date: | 11/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 2006000741 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |