Ebony Shante Johnson Valid NPI

Individual provider · Mental Health Counselor · Bridgeport, CT

NPI

1992450852

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

Sex

Female

Sole proprietor

Yes

Enumerated

2022-02-18

Last updated

2022-02-18