DR. Ken Ferrell Johnson JR., PSYD

NPI #1841414547 in Amelia Island, Florida

Provider Information

NPI Number: 1841414547
Entity Type: Individual
Name: DR. Ken Ferrell Johnson JR., PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: PSYD
Enumeration Date: Apr 12, 2007
Last Updated: Jan 21, 2015

Practice Location

Address: 5422 1ST COAST HWY
Address 2: STE 119
City: Amelia Island
State: Florida
ZIP Code: 32034-5423
Phone: (386) 235-3831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Psychologist	103T00000X

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Organizations

Provider Name	Specialty	City
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