Individual provider · Type 1 NPI
Carol Martin Johnson, MA, ATR-BC, LPC
Professional Counselor · Philadelphia, PA
NPI number
1114363140
Active
Practice location
4919 Pentridge St
Philadelphia, PA 19143-3320
Fax (610) 387-6056
Mailing address
4900 Spruce St Unit 502
Philadelphia, PA 19139-4372
Other practice locations
- 4522 Baltimore Ave, Philadelphia, PA 19143-3705 · (267) 608-5354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 004304 (PA) |
Professional Counselor: Definition to come...
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About NPI 1114363140
Carol Martin Johnson, MA, ATR-BC, LPC's National Provider Identifier is 1114363140, issued on May 16, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 18, 2024.