Johnson, Shontale Denise

Johnson, Shontale Denise is an individual health care provider with primary practice located at 1201 N Muldoon Rd , Anchorage AK 99504-6104. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Johnson, Shontale Denise can be contacted via phone (907) 257-4700.

Contact Information

Primary practice address
1201 N Muldoon Rd Anchorage AK 99504-6104
Phone: (907) 257-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 437 Alaska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 119784 Alaska

Profile Details

NPI number 1235570797
LBN Legal business name Johnson, Shontale Denise
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2013
Last updated Oct 15th, 2020 - about 6 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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