Individual
MS. CAROL MARTIN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC, LPC
Contact information
Practice address
4919 PENTRIDGE ST, PHILADELPHIA, PA 19143-3320
(267) 608-5354
(610) 387-6056
Mailing address
4900 SPRUCE ST UNIT 502, PHILADELPHIA, PA 19139-4372
(267) 608-5354
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004304
PA
Other
Enumeration date
05/16/2013
Last updated
11/18/2024
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