| Doctor Name: | MS. ADELE E, JOHANSSON |
| NPI Number: | 1093029803 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, CACD |
| License Number: | 2627 |
| Business Practice Address: | 220 Cumberland Pkwy Suite #5 Mechanicsburg, PA - 170555683 |
| Business Phone Number: | 7173648765 |
| Business Fax Number: | |
| Mailing Address: | 220 Cumberland Parkway, Suite Number 5 MECHANICSBURG |
| State: | PA |
| Postal Code: | 170555663 |
| Phone Number: | 7173648765 |
| Fax Number: | |
| NPI Enumeration Date: | 08/04/2010 |
| NPI Last Update Date: | 10/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2627 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |