Individual
LAMAR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 W PROSPECT AVE, MOUNT VERNON, NY 10550-2017
(347) 543-4726
Mailing address
3618 BOLLER AVE, BRONX, NY 10466-6049
(646) 671-8050
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P116316
NY
Other
Enumeration date
02/21/2023
Last updated
07/27/2024
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