Johnson, Christina James

Johnson, Christina James is an individual health care provider with primary practice located at 1303 E State Route 72 , Rolla MO 65401-3940. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Johnson, Christina James can be contacted via phone (573) 364-2900.

Contact Information

Primary practice address
1303 E State Route 72 Rolla MO 65401-3940
Fax: (573) 364-2902
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2003030263 Missouri

Profile Details

NPI number 1205038593
LBN Legal business name Johnson, Christina James
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Jun 14th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205038593 NPPES
Missouri MEDICAID 498734805

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