Organization
MARY K. JOHNSON, L.M.H.P., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY K JOHNSON L.M.H.P., P.C. (PRESIDENT)
(402) 917-6191
Entity
Organization
Contact information
Practice address
820 S 75TH ST, OMAHA, NE 68114-4623
(402) 917-6191
(402) 397-4268
Mailing address
5514 N 162ND ST, OMAHA, NE 68116-3731
(402) 917-6191
(402) 397-4268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2616
NE
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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