Individual provider · Type 1 NPI

Mary E. Johnson, LCSW

Mental Health Counselor · Eureka, CA

NPI number 1114055100 Active

Practice location

720 Wood St
Eureka, CA 95501-4413

Call (707) 268-2967 Map

Mailing address

1238 Lonestar
Mckinleyville, CA 95519-8500

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCS 15012 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1114055100

Mary E. Johnson, LCSW's National Provider Identifier is 1114055100, issued on Mar 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eureka, CA. The record was last updated on Jul 8, 2007.