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NPI Code Detail

MEDICARE: MS. CAROL A JOHNSON M.A., ED.S.

MEDICARE: MS. CAROL A JOHNSON M.A., ED.S.
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
1101YP2500XProfessional Counselor37PC00019900NJ

General Provider Information

NPI Number : 1437233913
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROL A JOHNSON M.A., ED.S.
Provider Business Mailing Address
First Line : 31 PAGODA CT
Second Line :
City : LAWRENCEVILLE
State : NJ
Zip : 08648-4830
Country : US
Telephone Number : 609-333-1319
Fax Number : 609-924-7436
Provider Business Practice Location Address
First Line : 22 STOCKTON ST
Second Line :
City : PRINCETON
State : NJ
Zip : 08540-6813
Country : US
Telephone Number : 609-924-0060
Fax Number : 609-924-7436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 07/08/2007

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