MEDICARE: KRISTINA BRITT JOHNSEN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	9774	LA

General Provider Information

NPI Number	:	1376226894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA BRITT JOHNSEN LPC

Provider Business Mailing Address
First Line	:	425 NOTRE DAME ST APT 706
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70130-3968
Country	:	US
Telephone Number	:	251-490-2934
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 SAINT CHARLES AVE STE 203
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70130-5234
Country	:	US
Telephone Number	:	504-525-2366
Fax Number	:	504-584-7780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2023
Last Update Date	:	04/08/2026

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