IndividualActive
Mary Johnson, PH.D., LPC
NPI 1154681963 · Professional Counselor · Pendleton, OR
Provider details
- NPI number
- 1154681963
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- PH.D., LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- C2898 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
202 Se Dorion Ave
Suite 103
Pendleton, OR 97801-2576
Phone: (541) 276-2471
Approximate (ZIP-level) locationGet directions
Mailing address
202 Se Dorion Ave
Pendleton, OR 97801-2576
Registry dates
- Enumerated
- 2012-05-25
- Last updated
- 2012-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.