Provider Demographics
NPI:1194895797
Name:JOHNSON, JUDITH F (LPC,MS,NBCCH,NCC)
Entity type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:F
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LPC,MS,NBCCH,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 E 13TH ST
Mailing Address - Street 2:227
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36201-4601
Mailing Address - Country:US
Mailing Address - Phone:256-237-9200
Mailing Address - Fax:256-237-9205
Practice Address - Street 1:7 E 13TH ST
Practice Address - Street 2:227
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-4601
Practice Address - Country:US
Practice Address - Phone:256-237-9200
Practice Address - Fax:256-237-9205
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1084101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health