Individual
KIMBERLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 HAZARD AVE, ENFIELD, CT 06082-4592
(860) 253-5020
Mailing address
995 DAY HILL RD, WINDSOR, CT 06095-1722
(860) 731-5522
(860) 731-5526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
07/21/2010
Last updated
04/11/2019
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