Individual provider · Type 1 NPI

Keith Johnson

Mental Health Counselor · Manchester, CT

NPI number 1982345047 Active

Practice location

444 Center St
Manchester, CT 06040-3926

Fax (860) 731-5536

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1588

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1982345047

Keith Johnson's National Provider Identifier is 1982345047, issued on Apr 5, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Manchester, CT. The record was last updated on Apr 5, 2022.