Individual
MS. LYNN JOHNSON-GLEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7203 PITTVILLE AVE, PHILA, PA 19126-1526
(215) 713-0590
(215) 713-0590
Mailing address
7203 PITTVILLE AVE, PHILA, PA 19126-1526
(215) 713-0590
(215) 713-0590
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC004118
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC004118
PA
101YM0800X
Mental Health Counselor
PC004118
PA
Other
Enumeration date
07/17/2006
Last updated
12/04/2007
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