Individual
CHRISTIANE JOHANSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
253 INDIANA AVE, VALPARAISO, IN 46383-5542
(219) 508-0106
Mailing address
2904 LAKE POINTE DR, VALPARAISO, IN 46383-2791
(219) 508-0106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001599A
IN
Other
Enumeration date
01/09/2015
Last updated
11/20/2017
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