person
Mr. Mark Carroll Johnson SR., LMFT
Mental Health Counselor in New Milford, Connecticut
NPI 1760555437

Mark Carroll Johnson SR. is a Mental Health Counselor based in New Milford, CT and is specialized in Mental Health. Mark Carroll Johnson SR. practices in New Milford, CT and has the professional credentials of LMFT. The NPI Number for Mark Carroll Johnson SR. is 1760555437 and holds a License No. 000912 (Connecticut).

The current practice location address for Mark Carroll Johnson SR. is 35 Park Lane Rd, New Milford, CT and can be reached out via phone at 860-354-4135 and via fax at 860-354-4238.

Location: 35 Park Lane Rd, New Milford, CT, 06776-5613
person
Provider Profile Details
NPI Number
1760555437
Provider Name
Mark Carroll Johnson SR.
Credential
LMFT
Provider Entity Type
Individual
Gender
Male
Address
35 Park Lane Rd, New Milford, CT, 06776-5613
Phone Number
860-354-4135
Fax Number
860-354-4238
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
35 Park Lane Rd
City
State
Zip
06776-2916
Phone Number
860-354-4135
Fax Number
860-354-4238
person
Provider Business Mailing Address Details
Address
35 Park Lane Rd
City
State
Zip
06776-2916
Phone Number
860-354-4135
Fax Number
860-354-4238
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
000912 (Connecticut)
Definition
Definition to come...
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