Individual provider · Type 1 NPI
Mary Madison Johnson
Professional Counselor · Lubbock, TX
NPI number
1932817673
Active
Practice location
1515 Texas Ave
Lubbock, TX 79401-5146
Mailing address
5416 44th St
Lubbock, TX 79414-1324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 85999 (TX) |
Professional Counselor: Definition to come...
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About NPI 1932817673
Mary Madison Johnson's National Provider Identifier is 1932817673, issued on Nov 11, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lubbock, TX. The record was last updated on Nov 11, 2022.