Johnson, Mary

Johnson, Mary is an individual health care provider with primary practice located at 323 W Mulberry St , Watseka IL 60970-1568. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Johnson, Mary can be contacted via phone (815) 432-5241.

Contact Information

Primary practice address
323 W Mulberry St Watseka IL 60970-1568
Phone: (815) 432-5241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178011124 Illinois

Profile Details

NPI number 1952931453
LBN Legal business name Johnson, Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2020
Last updated Jan 23rd, 2020 - about 6 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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