Individual
CONNIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 MAIN ST, RIDGEFIELD, CT 06877
(203) 313-3873
Mailing address
607 MAIN ST, RIDGEFIELD, CT 06877-3830
(203) 313-3873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/08/2014
Last updated
08/05/2019
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