Individual
LAUREN ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1133 BROADWAY, SUITE 1103, NEW YORK, NY 10010-7903
(516) 647-0926
Mailing address
1133 BROADWAY, SUITE 1103, NEW YORK, NY 10010-7903
(516) 647-0926
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000930
NY
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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