Individual
MS. LAUREN JEANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST-MASTER
Contact information
Practice address
607 WASHINTON HIGHWAY, MORRISVILLE, VT 05661-8652
(802) 888-8320
(802) 888-8136
Mailing address
6213 VT ROUTE 14, CRAFTSBURY COMMON, VT 05827-9500
(802) 279-4636
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000125
VT
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
047-0000676
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN1866
—
VT
Enumeration date
07/03/2006
Last updated
05/08/2018
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