Provider Demographics
NPI:1619570579
Name:JOHNSON, DONYA PAULETTE (LPC)
Entity Type:Individual
Prefix:
First Name:DONYA
Middle Name:PAULETTE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 STEPHENS ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-3218
Mailing Address - Country:US
Mailing Address - Phone:197-385-5804
Mailing Address - Fax:
Practice Address - Street 1:198 STEPHENS ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-3218
Practice Address - Country:US
Practice Address - Phone:973-759-4585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01002700101YP2500X
NJ37AC00548100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health