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Individual
MR. MARK A JOHNSON SR.
Active
Individual
MR. MARK A JOHNSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14357
TX
1041C0700X
Clinical Social Worker
089.0134242
VT
1041C0700X
Clinical Social Worker
60924
TX
1041C0700X
Clinical Social Worker
Primary
97416
CA
Other
Enumeration date
03/06/2013
Last updated
12/15/2023
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