person
Ebony Shante Johnson
Mental Health Counselor in Bridgeport, Connecticut
NPI 1992450852

Ebony Shante Johnson is a Mental Health Counselor based in Bridgeport, CT and is specialized in Mental Health. Ebony Shante Johnson practices in Bridgeport, CT. The NPI Number for Ebony Shante Johnson is 1992450852 and holds a License No. (Connecticut).

The current practice location address for Ebony Shante Johnson is 170 Bennett St, Bridgeport, CT and can be reached out via phone at 203-864-5013.

Location: 170 Bennett St, Bridgeport, CT, 06610-1852
person
Provider Profile Details
NPI Number
1992450852
Provider Name
Ebony Shante Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
170 Bennett St, Bridgeport, CT, 06610-1852
Phone Number
203-864-5013
Fax Number
Provider Enumeration Date
02/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
170 Bennett St
City
State
Zip
06605-2901
Phone Number
203-864-5013
Fax Number
person
Provider Business Mailing Address Details
Address
170 Bennett St
City
State
Zip
06605-2901
Phone Number
203-864-5013
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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