Individual
MATTHEW THOMAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 FOREVERGREEN RD, TIFFIN, IA 52340-4773
(319) 331-6476
Mailing address
1473 195TH AVE, OSCEOLA, IA 50213-8222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
094949
IA
Other
Enumeration date
05/23/2019
Last updated
11/17/2025
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