| Mary K. Johnson, L.m.h.p., P.c. | |
|
820 S 75th St Omaha NE 68114-4623 | |
| (402) 917-6191 | |
| (402) 397-4268 |
| Full Name | Mary K. Johnson, L.m.h.p., P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 820 S 75th St, Omaha, Nebraska |
| Authorized Official Name and Position | Mary K Johnson (PRESIDENT) |
| Authorized Official Contact | 4029176191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary K. Johnson, L.m.h.p., P.c. 5514 N 162nd St Omaha NE 68116-3731 Ph: (402) 917-6191 | Mary K. Johnson, L.m.h.p., P.c. 820 S 75th St Omaha NE 68114-4623 Ph: (402) 917-6191 |
| NPI Number | 1437427531 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 12/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437427531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2616 (Nebraska) | Primary |
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