Doctor Name: | MRS. LYNN JEFFERSON JOHNSON |
NPI Number: | 1134246333 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., L.P.C. |
License Number: | 37PC00039000 |
Business Practice Address: | 3121 Route 38 Mount Laurel, NJ - 080549725 |
Business Phone Number: | 8566420100 |
Business Fax Number: | |
Mailing Address: | 88 Ridgewood Way, BURLINGTON |
State: | NJ |
Postal Code: | 080164270 |
Phone Number: | 6092390795 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00039000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |