REGINALD ANTWAN JOHNSON

TAMPA, FL
NPI1700091691
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-05-14
Last Update Date2007-07-08
Business Address
-- REGINALD ANTWAN JOHNSON
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-272-2878
Mailing Address
-- REGINALD ANTWAN JOHNSON
5707 N 22ND ST
TAMPA, FL 33610-4350
Phone number: 813-272-2878