Individual provider · Type 1 NPI
Cynthia Nims-Johnson, LPC
Addiction (Substance Use Disorder) Counselor · Bridgeport, CT
NPI number
1134490980
Active
Practice location
1 Lafayette Cir
Bridgeport, CT 06604-6021
Fax (203) 331-1504
Mailing address
350 Fairfield Ave, Suite 701
Bridgeport, CT 06604-6014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 001891 (CT) |
| Mental Health Counselor | 101YM0800X | 001891 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1134490980
Cynthia Nims-Johnson, LPC's National Provider Identifier is 1134490980, issued on Jan 25, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bridgeport, CT. The record was last updated on Jan 25, 2012.