Johnson, Carol Louise

Johnson, Carol Louise is an individual health care provider with primary practice located at 331 Southeast 2Nd Street , Pendleton OR 97838. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Johnson, Carol Louise can be contacted via phone (541) 276-6207.

Contact Information

Primary practice address
331 Southeast 2Nd Street Pendleton OR 97838
Phone: (541) 276-6207
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 931215381 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1356691869
LBN Legal business name Johnson, Carol Louise
Credentials MTE
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2012
Last updated Mar 7th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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