Individual
BAYLEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1258 PURDYTOWN TPKE, LAKEVILLE, PA 18438-6793
(570) 647-9277
(570) 227-0084
Mailing address
1258 PURDYTOWN TPKE, LAKEVILLE, PA 18438-6793
(570) 647-9277
(570) 227-0084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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