Most Relevant Information
Provider Data
NPI Number: | 1003339524 |
Provider Name: | TIFFANY MORGAN JOHNSON |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 07/18/2017 |
Last Updated: | 07/21/2022 |
Provider Practice Location
1351 NEWTOWN PIKE BLDG 1
LEXINGTON
KY
405111277
Practice Location Phone/Fax
Phone: | 5892531686 |
Fax: |
Provider Mailing Location
1351 NEWTOWN PIKE BLDG 1
LEXINGTON
KY
405111277
Provider Mailing Phone/Fax
Phone: | 5892531686 |
Fax: |