# MARY K. JOHNSON, L.M.H.P., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437427531
- **Authorized official:** MARY K JOHNSON L.M.H.P., P.C. (PRESIDENT)
- **Authorized official phone:** (402) 917-6191

## Contact information

- **Practice address:** 820 S 75TH ST, OMAHA, NE 68114-4623
- **Practice address phone:** (402) 917-6191
- **Practice address fax:** (402) 397-4268
- **Mailing address:** 5514 N 162ND ST, OMAHA, NE 68116-3731
- **Mailing address phone:** (402) 917-6191
- **Mailing address fax:** (402) 397-4268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 2616 | NE | Yes |

## Other

- **Enumeration date:** 12/05/2011
- **Last updated:** 12/05/2011
