Individual
MEREDITH JILLIAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LPC
Contact information
Practice address
344 WATERTOWN RD, THOMASTON, CT 06787-1921
(914) 588-2521
Mailing address
9 DAVIS RD, NEW HARTFORD, CT 06057-4205
(914) 588-2521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
007060
NY
101YP2500X
Professional Counselor
Primary
46.004982
CT
Other
Enumeration date
09/04/2017
Last updated
08/09/2021
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