Individual
DEANNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 PINE ST, BRISTOL, CT 06010-6948
(203) 626-1605
Mailing address
12 VAN ROSE DR, NORTH HAVEN, CT 06473-4462
(203) 626-1605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/25/2011
Last updated
04/28/2017
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