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NPI Code Detail

MEDICARE: MRS. CHHAYA JOHNSON MA

MEDICARE: MRS. CHHAYA JOHNSON MA
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
1101YM0800XMental Health CounselorMH6056FL

General Provider Information

NPI Number : 1447269261
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHHAYA JOHNSON MA
Provider Business Mailing Address
First Line : 6 BAY POINTE DR
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-2203
Country : US
Telephone Number : 386-206-1902
Fax Number :
Provider Business Practice Location Address
First Line : 565 MEMORIAL CIR
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-5001
Country : US
Telephone Number : 386-310-8766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 11/22/2019

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