MRS. Mary Carol Johnson, QMHA
NPI #1265697197 in North Bend, Oregon
Provider Information
- NPI Number
- 1265697197
- Entity Type
- Individual
- Name
- MRS. Mary Carol Johnson, QMHA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- QMHA
- Enumeration Date
- Jul 21, 2008
- Last Updated
- Oct 7, 2008
Practice Location
- Address
- 1840 UNION AVE
- City
- North Bend
- State
- Oregon
- ZIP Code
- 97459-3422
- Phone
- (541) 756-2057
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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