Individual
MS. CAROL LOUISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MTE
Contact information
Practice address
331 SOUTHEAST 2ND STREET, PENDLETON, OR 97838
(541) 276-6207
Mailing address
595 NW 11TH ST, HERMISTON, OR 97838-6600
(541) 567-2536
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
931215381
OR
Other
Enumeration date
09/12/2012
Last updated
03/07/2016
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