Individual
BRIENNE AMANDA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CASAC
Contact information
Practice address
3864 RALPH ST S, SEAFORD, NY 11783-1740
(516) 369-3365
Mailing address
3864 RALPH ST S, SEAFORD, NY 11783-1740
(516) 369-3365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
009150
NY
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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