Individual
JOHANNA PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MAAT
Contact information
Practice address
134 MAIN ST, PUTNAM, CT 06260-1920
(860) 288-2368
Mailing address
6 LEDGEBROOK DR STE D, MANSFIELD CENTER, CT 06250-1684
(860) 833-2657
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3414
CT
Other
Enumeration date
04/07/2016
Last updated
11/16/2022
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