Individual
CHRISTY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC, RPT
Contact information
Practice address
5 WEST CAYUGA STREET, OSWEGO, NY 13126
(315) 342-9255
(866) 323-6619
Mailing address
41 COUNTY ROUTE 29, OSWEGO, NY 13126
(315) 529-7852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000459-1
NY
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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