Individual
ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
81 KNOLLWOOD AVE, HUNTINGTON, NY 11743-3427
(163) 142-7772
Mailing address
81 KNOLLWOOD AVE, HUNTINGTON, NY 11743-3427
(163) 142-7772
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000078
NY
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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