Provider Demographics
NPI:1851728521
Name:JOHNSON, JOYCE (LCMHC)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 DUDLEY DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5740
Mailing Address - Country:US
Mailing Address - Phone:603-738-4996
Mailing Address - Fax:
Practice Address - Street 1:3 DUDLEY DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5740
Practice Address - Country:US
Practice Address - Phone:603-738-4996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-26
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1017101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health