Samuel Gary Johnson I MA, LPC

NPI 1710999735 - Counselor - 101YP2500X

NPI Details
NPI 1710999735
Gender Male
Enumeration Date 08/12/2006
Last Updated 02/24/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
19 CENTRAL AVE
3RD FLOOR
OIL CITY PA, 16301-2733, US
Phone (814) 678-6900
Fax (814) 678-6902
Business Location
19 CENTRAL AVE
3RD FLOOR
OIL CITY PA, 16301-2733, US
Phone (814) 678-6900
Fax (814) 678-6902
Toxanomy
Taxonomy Code 101YP2500X
License State Pennsylvania
License Number PC003785
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According to our database, Samuel Gary Johnson I MA, LPC NPI is 1710999735, taxonomy code is 101YP2500X and license number is PC003785, license state is located at Pennsylvania. Samuel Gary Johnson I MA, LPC physically located at 19 Central Ave, Oil City PA, 16301-2733. NPI Number Samuel Gary Johnson I MA, LPC has the Individual type.

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1710999735 NPI number is provided on an as is basis without warranty of any kind. 1710999735 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Gary Johnson I MA, LPC are for informational purposes only.