Individual
MS. LORRAINE BETHEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPCMH, C.R.C.
Contact information
Practice address
121 W LOOCKERMAN ST, DOVER, DE 19904-7325
(302) 674-1397
Mailing address
121 W LOOCKERMAN ST, DOVER, DE 19904-7325
(302) 674-1397
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC0000185
DE
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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