Individual
MS. CHRISTINA R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
440 S MARKET AVE, SPRINGFIELD, MO 65806-2026
(800) 432-1210
(417) 865-0566
Mailing address
440 S MARKET AVE, SPRINGFIELD, MO 65806-2026
(800) 432-1210
(417) 865-0566
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
002620
MO
101YM0800X
Mental Health Counselor
002620
MO
101YP2500X
Professional Counselor
Primary
002620
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493795801
—
MO
Enumeration date
01/14/2009
Last updated
01/14/2009
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