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)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