SearchIndiana1041C0700X

Constance Johnson, LCSW

NPI 1497578546 · on the registry since 2024

Practice

Address
405 W 6th St
Bloomington, IN 47404
Phone
(812) 221-1142
Organisation at this address
Lived Experience Therapy And Consulting Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana