Individual provider · Type 1 NPI

Mary Teresa Johnston, MA, OTR/L

Mental Health Counselor · Gardena, CA

NPI number 1174778336 Active

Practice location

130 W Victoria St
Gardena, CA 90248-3523

Call (310) 715-2020 Map

Fax (310) 715-2705

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1610 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1174778336

Mary Teresa Johnston, MA, OTR/L's National Provider Identifier is 1174778336, issued on Dec 1, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gardena, CA. The record was last updated on Dec 1, 2008.