Individual
ERIC JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NCC (LPC)
Contact information
Practice address
256 CHAPMAN RD STE 203, NEWARK, DE 19702-5415
(302) 307-6558
Mailing address
1130 BARDELL DRIVE, WILMINGTON, DE 19808
(610) 324-3571
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC013870
PA
Other
Enumeration date
02/21/2021
Last updated
02/23/2022
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