Organization
CAROL MARTIN JOHNSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL MARTIN JOHNSON ATR-BC, LPC (PSYCHOTHERAPIST)
(267) 608-5354
Entity
Organization
Contact information
Practice address
8600 W CHESTER PIKE, SUITE 108, UPPER DARBY, PA 19082-2629
(610) 387-6056
Mailing address
4708 KINGSESSING AVE, PHILADELPHIA, PA 19143-3819
(267) 608-5354
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC004304
PA
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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