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Individual

GINA MARIE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPCMH, NCC

Contact information

Practice address
1200 N FRENCH ST, WILMINGTON, DE 19801-3239
(302) 652-3948
Mailing address
749 WHITEBRIAR RD, HOCKESSIN, DE 19707-9345
(267) 229-9129

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC0011825
DE
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/14/2023
Last updated
04/11/2025
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