Individual provider · Type 1 NPI

Mariah Johnson, BA

Addiction (Substance Use Disorder) Counselor · Effingham, IL

NPI number 1639778384 Active

Practice location

1200 N 4th St
Effingham, IL 62401-3032

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1639778384

Mariah Johnson, BA's National Provider Identifier is 1639778384, issued on Oct 23, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Effingham, IL. The record was last updated on Oct 23, 2020.