Individual provider · Type 1 NPI
Mary A. Johnson, PhD, LPC
Professional Counselor · Pendleton, OR
NPI number
1154681963
Active
Practice location
202 SE Dorion Ave, Suite 103
Pendleton, OR 97801-2576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C2898 (OR) |
| Professional Counselor | 101YP2500X | 92271 (NM) |
Professional Counselor: Definition to come...
Another provider at this address
About NPI 1154681963
Mary A. Johnson, PhD, LPC's National Provider Identifier is 1154681963, issued on May 25, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pendleton, OR. The record was last updated on May 25, 2012.