# EBONY JOHNSON BLUE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467839480
- **Gender:** F
- **Credential:** LMHC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 11199-125 | WI | — |
| 101YM0800X | Mental Health Counselor | LH61585624 | WA | Yes |
| 101YP2500X | Professional Counselor | 70501 | TX | — |

## Other

- **Enumeration date:** 04/28/2015
- **Last updated:** 02/18/2025