Individual
MS. LYNNETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
385 TREMONT AVE, 116F, EAST ORANGE, NJ 07018-1023
(973) 676-1000
(973) 395-7016
Mailing address
556 IRVING TER, SOUTH ORANGE, NJ 07079-2435
(973) 763-5701
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
35SI00308600
NJ
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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