Individual
BREANA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LMFT
Contact information
Practice address
41 UNION SQ W STE 1328, NEW YORK, NY 10003-3252
(917) 225-1401
Mailing address
26 MARGARET DR, ROOSEVELT, NY 11575-1535
(516) 757-1796
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001536
NY
Other
Enumeration date
06/08/2018
Last updated
04/27/2020
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