Mary E Johnson, LCSW
Counselor, Mental Health in Eureka, CA. Individual provider (NPI-1).
NPI number1114055100
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1114055100
- Entity type
- Individual (NPI-1)
- Name
- Mary E Johnson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LCS 15012 | CA | Yes |
Practice location
720 Wood StEureka, CA 95501-4413
Phone 707-268-2967
Mailing address
1238 LonestarMcKinleyville, CA 95519-8500
Phone 707-839-5558
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All 77 Mental Health Counselor providers in Eureka · All 3,243 providers in Eureka
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