Individual
MS. DAVA NAOMI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS NCC LPC
Contact information
Practice address
20 GERMANTOWN ROAD, BEHAVIORAL MEDICINE AND COUNSELING CENTER, DANBURY, CT 06810
(203) 748-1200
(203) 790-0010
Mailing address
20 GERMANTOWN ROAD, BEHAVIORAL MEDICINE AND COUNSELING CENTER, DANBURY, CT 06810
(203) 748-1200
(203) 790-0010
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001483
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240001483CT01
ANTHEM BLUE CROSS BLUE SHIELD ANTHEM BEHAVIORAL HEALTH NE
—
01
—
7967874
AETNA
—
Enumeration date
06/26/2008
Last updated
06/26/2008
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