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Search › Tennessee › 101YA0400X

Matthew Johnson, M.A., M.DIV

NPI 1467179929 · on the registry since 2022

Practice

Address
2450 Winfield Dunn Pkwy
Kodak, TN 37764
Phone
(865) 805-0567
Organisation at this address
Lifechangers Outreach
Restoration House Ministries
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee