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

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X004304 (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.