Individual
TANYA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3301 GREEN ST, CLAYMONT, DE 19703-2052
(302) 439-4951
Mailing address
3301 GREEN ST, CLAYMONT, DE 19703-2052
(302) 439-4951
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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