Individual
MS. PATRICIA K JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4338 IDLEWILD LN, CARMEL, IN 46033-4722
(317) 582-0861
Mailing address
4338 IDLEWILD LN, CARMEL, IN 46033-4722
(317) 582-0861
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
39001297A
IN
1041C0700X
Clinical Social Worker
Primary
34003192A
IN
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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