Individual provider · Type 1 NPI

Cynthia Ann Johnson, MA

Mental Health Counselor · North Fort Myers, FL

NPI number 1114563764 Active

Practice location

390 Pondella Rd Ste 9
North Fort Myers, FL 33903-4340

Fax (239) 652-0146

Mailing address

3105 40th St SW
Lehigh Acres, FL 33976-4602

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XCWCMP102942 (FL)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114563764

Cynthia Ann Johnson, MA's National Provider Identifier is 1114563764, issued on Nov 19, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Fort Myers, FL. The record was last updated on Nov 19, 2019.