National Provider Identifier Database

CHARLES D JOHNSON, LPC – NPI #1790871234
Professional


Contact Information

CHARLES D JOHNSON, LPC
402 SOUTH SILVER SPRINGS ROAD
CAPE GIRARDEAU, MO63703
Phone: 573-334-1100
Fax: 573-334-8819
Website:
Specialty Taxonomy Code
* Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for CHARLES D JOHNSON

NPI Number 1790871234
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 10/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • MO License #: 000059
  • MO Other: 197666 BLUE CROSS BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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