Roger D Johnson, LCSW

NPI #1952665002 in Benton, Arkansas

Provider Information

NPI Number: 1952665002
Entity Type: Individual
Name: Roger D Johnson, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 3, 2012
Last Updated: Oct 20, 2015

Practice Location

Address: 112 PEARSON
City: Benton
State: Arkansas
ZIP Code: 72015-4436
Phone: (501) 315-4224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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