Female

Tanya M. Johanson LCPC

Professional Counselor in Lewiston, ME(View on Map)

Full Name

Tanya M Johanson LCPC

NPI Number

1801215520

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/09/2014

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Maine

License Number

CC5423

Contact
Information

Purpose

Mailing
Location

Address

1155 LISBON ST
1155 LISBON ST

City

Lewiston
Lewiston

State

ME
ME

Postal Code

04240-5025
04240-5025

Country

US
US

Telephone Number

(207) 783-9141
(207) 783-9141

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/04/2021

Provider Address

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