Detrial W. Johnson PMFT
Marriage & Family Therapist in Tampa, FL(View on Map)
Full Name
Detrial Williams Johnson PMFT
NPI Number
1184939886
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/18/2010
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PMFT 130
Contact
Information
Purpose
Mailing
Location
Address
5707 N 22ND ST
5707 N 22ND ST
City
Tampa
Tampa
State
FL
FL
Postal Code
33610-4350
33610-4350
Country
US
US
Telephone Number
(813) 239-8506
(813) 239-8506
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/18/2015