Individual
CHANTEL AMANI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 NORCOR AVE, CORALVILLE, IA 52241-9736
(319) 975-8705
Mailing address
306 1ST AVE APT 306, CORALVILLE, IA 52241-2480
(843) 364-7522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
113998
IA
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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