Individual
MR. MATTHEW DEAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC-S
Contact information
Practice address
1807 PRESTWICK PL, ROGERS, AR 72758-1389
(479) 685-6595
Mailing address
4581 S HILLS DR, CLEVELAND, OH 44109-4469
(479) 685-6595
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.1000019-SUPV
OH
Other
Enumeration date
02/21/2007
Last updated
05/20/2013
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