Individual
MS. LAUREN K JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
609 W JOHNSON AVE UNIT 310, CHESHIRE, CT 06410
(860) 830-9858
Mailing address
609 W JOHNSON AVE UNIT 310, CHESHIRE, CT 06410-4505
(860) 830-9858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003491
CT
101YP2500X
Professional Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2015
Last updated
11/22/2019
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