Individual
MS. MARIA LAVETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC.
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-4807
Mailing address
300 WOODLAND DR, ATP. 301, COVENTRY, RI 02816-6837
(401) 338-2665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00557
LICENSE
RI
Enumeration date
02/05/2007
Last updated
03/04/2014
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