Johnson, David

Johnson, David is an sole proprietor health care provider with primary practice located at 1861 S Patrick Dr Box 166, Indian Harbour Beach FL 32937-4377. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Johnson, David can be contacted via phone (321) 693-4573.

Contact Information

Primary practice address
1861 S Patrick Dr Box 166 Indian Harbour Beach FL 32937-4377
Phone: (321) 693-4573
Fax: (321) 610-8880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAP 3095 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 9197 Florida

Profile Details

NPI number 1396978003
LBN Legal business name Johnson, David
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2009
Last updated Aug 27th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396978003 NPPES
Florida Other CAP 3095 CAP
Florida Other MH9197 CAP

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