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Individual

CHRISTINA MIATTAMENGIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
49 E 4TH ST STE 205, WILLIAMSPORT, PA 17701-6355
(570) 601-4788
Mailing address
9 MILL PARK LN, LEWISBURG, PA 17837-9316

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC018031
PA

Other

Enumeration date
01/13/2025
Last updated
01/13/2025
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