Individual provider · Type 1 NPI

Marisa Johnson

Mental Health Counselor · Latham, NY

NPI number 1023596996 Active

Practice location

6 Wellness Way Ste 112
Latham, NY 12110-2156

Fax (518) 213-6985

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XP10412 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1023596996

Marisa Johnson's National Provider Identifier is 1023596996, issued on Aug 2, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Latham, NY. The record was last updated on Feb 26, 2024.