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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY A. JOHNSON, PH.D., LPC

Active Sole Proprietor

MARY A. JOHNSON, PH.D., LPC is a Professional Counselor healthcare provider located in PENDLETON, Oregon. NPI 1154681963 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · PENDLETON, OR

Registration Details

NPI Number
1154681963
Provider Type
Individual
Gender
Female
NPI Issued
May 25, 2012 (14.183286692271 yrs)
Last Updated
May 25, 2012
Licenses
C2898 (OR)
92271 (NM)
Sole Proprietor
Yes

Practice Information

Address
202 SE DORION AVE
SUITE 103
PENDLETON, OR, 978012576
Browse OR providers · Browse ZIP 97801
Phone
5412762471
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.