Individual
MRS. LISA MARIE JOHANNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
153 HAZARD AVE, ENFIELD, CT 06082-4592
(860) 250-5020
(860) 250-5030
Mailing address
153 HAZARD AVE, ENFIELD, CT 06082-4592
(860) 250-5020
(860) 250-5030
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
002077
CT
Other
Enumeration date
07/02/2009
Last updated
11/06/2013
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