Individual
CEARA RAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
Mailing address
369 N WESTHAVEN DR APT M201, OSHKOSH, WI 54904-6353
(920) 573-6449
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5186226
WI
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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