Shatoria Brianne Johnson, LAC

NPI #1598319303 in Malvern, Arkansas

Provider Information

NPI Number: 1598319303
Entity Type: Individual
Name: Shatoria Brianne Johnson, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LAC
Enumeration Date: Jul 30, 2019
Last Updated: Jun 15, 2021

Practice Location

Address: 1615 MARTIN LUTHER KING BLVD
City: Malvern
State: Arkansas
ZIP Code: 72104-2233
Phone: (501) 332-5236

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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