Individual provider · Type 1 NPI

Roger Johnson, MA

Mental Health Counselor · Prestonsburg, KY

NPI number 1619156338 Active

Practice location

40 Greenhouse Ln, Rt 321 Auxier Road
Prestonsburg, KY 41653-9180

Fax (606) 886-9878

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619156338

Roger Johnson, MA's National Provider Identifier is 1619156338, issued on Oct 30, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Prestonsburg, KY. The record was last updated on Oct 30, 2007.