Individual
CHRISTINA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAPSW, SAC-IT
Contact information
Practice address
121 W MAIN ST, PORT WASHINGTON, WI 53074-1813
(262) 284-8200
(262) 284-8103
Mailing address
121 W MAIN ST, PORT WASHINGTON, WI 53074-1813
(262) 284-8200
(262) 284-8103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
129404-121
WI
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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