Individual
MRS. KRISTEN ANN JOHANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
364 DORSET ST STE 212, SOUTH BURLINGTON, VT 05403-6272
(802) 658-9440
Mailing address
70B N PROSPECT ST, BURLINGTON, VT 05401-3300
(802) 324-8318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680000713
VT
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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