Individual
CHRISTELLE LOCKE-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 WHEELER CLINIC, 91 NORTHWEST DRIVE, PLAINVILLE, CT 06062
(888) 793-3500
(860) 793-3520
Mailing address
91 WHEELER CLINIC, 91 NORTHWEST DRIVE, PLAINVILLE, CT 06062
(888) 793-3500
(860) 793-3520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001017
CT
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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