Johnson, Rebecca
Johnson, Rebecca is an individual health care provider with primary practice located at 6600 Van Aalst Blvd , Fort Moore GA 31905-2102. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Johnson, Rebecca can be contacted via phone (850) 885-4551.Contact Information
Primary practice address
6600 Van Aalst Blvd
Fort Moore GA 31905-2102
Phone: (850) 885-4551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW.09923986 | Colorado |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3572 | Louisiana |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 17533 | Florida |
Profile Details
| NPI number | 1760449334 |
|---|---|
| LBN Legal business name | Johnson, Rebecca |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Mar 22nd, 2024 - about last year |
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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