Individual provider · Type 1 NPI

Margie Rae Johnson, PEER SUPPORT SPECIAL

Counselor · Modesto, CA

NPI number 1609662154 Active

Practice location

1202 H St Ste D
Modesto, CA 95354-2443

Call (209) 450-2397 Map

Mailing address

1202 H St Ste C
Modesto, CA 95354-2443

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XMPSS-RVKQPG (CA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1609662154

Margie Rae Johnson, PEER SUPPORT SPECIAL's National Provider Identifier is 1609662154, issued on Apr 18, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Modesto, CA. The record was last updated on Apr 18, 2025.