Individual
KELLY CHRISTINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 MATHER ST, HAMDEN, CT 06514-3101
(203) 745-0733
Mailing address
375 MATHER ST, HAMDEN, CT 06514-3101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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