Individual provider · Type 1 NPI

Mary Johnson

Mental Health Counselor · Watseka, IL

NPI number 1952931453 Active

Practice location

323 W Mulberry St
Watseka, IL 60970-1568

Call (815) 432-5241 Map

Mailing address

PO Box 322
Watseka, IL 60970-0322

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178011124 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1952931453

Mary Johnson's National Provider Identifier is 1952931453, issued on Jan 23, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Watseka, IL. The record was last updated on Jan 23, 2020.