Individual
MARK E JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 EAGLE RIDGE DR STE F, SCHERERVILLE, IN 46375-4208
(847) 398-7193
Mailing address
1000 EAGLE RIDGE DR STE F, SCHERERVILLE, IN 46375-4208
(847) 398-7193
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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