Ebony Shante Johnson
Ebony Shante Johnson is a Mental Health Counselor in Bridgeport, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
170 Bennett StBridgeport, CT 06605-2901
Phone: (203) 864-5013
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1992450852 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 18, 2022 |
| Last updated in NPPES | February 18, 2022 |
| Certification date | February 18, 2022 |
| Mailing address | 140 Texas Ave, Bridgeport, CT 06610-1852 |
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