Eddie Levon Johnson JR., M.A.

NPI #1376994996 in Wesley Chapel, Florida

Provider Information

NPI Number: 1376994996
Entity Type: Individual
Name: Eddie Levon Johnson JR., M.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: M.A.
Enumeration Date: Jun 24, 2016
Last Updated: Jun 24, 2016

Practice Location

Address: 5443 SILVER CHARM TER
City: Wesley Chapel
State: Florida
ZIP Code: 33544-1536
Phone: (813) 966-5998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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