MEDICARE: MRS. AMBER C JOHNSON MS, MA, LPC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	6401015058	MI
2	101YS0200X	School Counselor	SC0000000889916	MI
3	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1215277231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMBER C JOHNSON MS, MA, LPC, NCC

Provider Business Mailing Address
First Line	:	2910 S JEFFERSON ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-8407
Country	:	US
Telephone Number	:	989-522-4870
Fax Number	:

Provider Business Practice Location Address
First Line	:	2910 S JEFFERSON ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-8407
Country	:	US
Telephone Number	:	989-220-3676
Fax Number	:	989-220-3676

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2013
Last Update Date	:	01/24/2023

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