Provider Demographics
NPI:1639404569
Name:JOHNSON, MARGARET B (LPCC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:B
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 N MAYSVILLE ST
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-1315
Mailing Address - Country:US
Mailing Address - Phone:859-497-0594
Mailing Address - Fax:859-432-1025
Practice Address - Street 1:37 N MAYSVILLE ST
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-1315
Practice Address - Country:US
Practice Address - Phone:859-497-0594
Practice Address - Fax:859-432-1025
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100372050Medicaid