Provider Demographics
NPI:1629716113
Name:JOHNSON, CHIARA MUNYA (MS, ALC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:CHIARA
Middle Name:MUNYA
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MS, ALC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 GRELOT RD APT 1015
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-3632
Mailing Address - Country:US
Mailing Address - Phone:205-276-7404
Mailing Address - Fax:
Practice Address - Street 1:6348 PICCADILLY SQUARE DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-5303
Practice Address - Country:US
Practice Address - Phone:601-514-0342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC4110A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health