Individual provider · Type 1 NPI

Olivette Johnson

Mental Health Counselor · Bronx, NY

NPI number 1639052285 Active

Practice location

3249 Kingsbridge Ave
Bronx, NY 10463-5514

Mailing address

2170 Madison Ave Apt 6G
New York, NY 10037-2222

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639052285

Olivette Johnson's National Provider Identifier is 1639052285, issued on Jul 30, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Jul 30, 2025.