Individual provider · Type 1 NPI
Addie Johnson, LPC
Professional Counselor · Flourtown, PA
NPI number
1205188083
Active
Practice location
1811 Bethlehem Pike, Suite 214-215
Flourtown, PA 19031-1111
Fax (215) 643-9844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LC3268 (MD) |
| Professional Counselor Primary | 101YP2500X | PC 007726 (PA) |
Professional Counselor: Definition to come...
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About NPI 1205188083
Addie Johnson, LPC's National Provider Identifier is 1205188083, issued on Oct 4, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Flourtown, PA. The record was last updated on Mar 7, 2016.