| Doctor Name: | MRS. CHHAYA JOHNSON |
| NPI Number: | 1447269261 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | MH6056 |
| Business Practice Address: | 2729 E Moody Blvd Suite 702 Bunnell, FL - 321105963 |
| Business Phone Number: | 3862061894 |
| Business Fax Number: | |
| Mailing Address: | 6 Bay Pointe Dr, ORMOND BEACH |
| State: | FL |
| Postal Code: | 321742203 |
| Phone Number: | 3862061902 |
| Fax Number: | |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 10/31/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH6056 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |