Individual
MARQUETTA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1525 CUBA RD, MAYFIELD, KY 42066-6809
(270) 247-2588
(270) 247-0142
Mailing address
1525 CUBA RD, MAYFIELD, KY 42066-6809
(270) 247-2588
(270) 247-0142
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
261479
KY
101YP2500X
Professional Counselor
261479
KY
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/25/2018
Last updated
04/06/2023
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