person
Tamatha L Johnson, MS,LPC
Professional Counselor in Medford, Oregon
NPI 1659715654

Tamatha L Johnson is a Professional Counselor based in Medford, OR and is specialized in Professional. Tamatha L Johnson practices in Medford, OR and has the professional credentials of MS,LPC. The NPI Number for Tamatha L Johnson is 1659715654 and holds a License No. C3700 (Oregon).

The current practice location address for Tamatha L Johnson is 15 Crater Lake Ave, Medford, OR and can be reached out via phone at 541-621-5558.

Location: 15 Crater Lake Ave, Medford, OR, 97504-7444
person
Provider Profile Details
NPI Number
1659715654
Provider Name
Tamatha L Johnson
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Female
Address
15 Crater Lake Ave, Medford, OR, 97504-7444
Phone Number
541-621-5558
Fax Number
Provider Enumeration Date
04/20/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500713320 05 OR
institution
Provider Business Practice Location Address Details
Address
15 Crater Lake Ave
City
State
Zip
97504
Phone Number
541-621-5558
Fax Number
person
Provider Business Mailing Address Details
Address
15 Crater Lake Ave
City
State
Zip
97504
Phone Number
541-621-5558
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C3700 (Oregon)
Definition
Definition to come...
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