Individual
DOROTHY MAE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSL
Contact information
Practice address
5039 N 4TH ST, 1ST FLOOR, PHILADELPHIA, PA 19120-3832
(215) 456-0743
Mailing address
5039 N 4TH ST, 1ST FLOOR, PHILADELPHIA, PA 19120-3832
(215) 456-0743
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BH002783
PA
Other
Enumeration date
08/28/2015
Last updated
03/20/2018
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