Individual
MISS CARLY FRAZIER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
170 BROWN PL, BRONX, NY 10454-4140
(718) 665-2582
Mailing address
590 AVE OF THE AMERICAS, NEW YORK, NY 10011-2022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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