Provider Demographics
NPI:1558657478
Name:JOHNSON-GUNN, CHRISTINA MARIE (MS, LIMHP, LMHP, LPC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MARIE
Last Name:JOHNSON-GUNN
Suffix:
Gender:F
Credentials:MS, LIMHP, LMHP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11738 S 211TH ST
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:NE
Mailing Address - Zip Code:68028-3754
Mailing Address - Country:US
Mailing Address - Phone:402-681-5181
Mailing Address - Fax:402-939-0803
Practice Address - Street 1:11738 S 211TH ST
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-3754
Practice Address - Country:US
Practice Address - Phone:402-681-5181
Practice Address - Fax:940-293-0803
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9403101YM0800X
SDLPC20775101YP2500X
NE4371101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional