Individual
AWILDA VEGA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
Mailing address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P104680
NY
106H00000X
Marriage & Family Therapist
Primary
3567
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
NY
Enumeration date
03/23/2020
Last updated
01/20/2026
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