Individual
MS. ADELE E, JOHANSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CACD
Contact information
Practice address
220 CUMBERLAND PKWY, SUITE #5, MECHANICSBURG, PA 17055-5683
(717) 364-8765
Mailing address
220 CUMBERLAND PARKWAY, SUITE NUMBER 5, MECHANICSBURG, PA 17055-5663
(717) 364-8765
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2627
PA
101YP2500X
Professional Counselor
Primary
PC003003
PA
Other
Enumeration date
08/04/2010
Last updated
10/06/2010
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