Johnson, Lisa Ann

Johnson, Lisa Ann is an individual health care provider with primary practice located at 1955 Us Highway 1 S Suite C-2, St Augustine FL 32086-3708. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Johnson, Lisa Ann can be contacted via phone (904) 825-5048.

Contact Information

Primary practice address
1955 Us Highway 1 S Suite C-2 St Augustine FL 32086-3708
Phone: (904) 825-5048
Fax: (904) 825-6824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1437148962
LBN Legal business name Johnson, Lisa Ann
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 9th, 2007 - about 19 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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