person
Samuel Gary Johnson I, MA,LPC
Professional Counselor in Oil City, Pennsylvania
NPI 1710999735

Samuel Gary Johnson I is a Professional Counselor based in Oil City, PA and is specialized in Professional. Samuel Gary Johnson I practices in Oil City, PA and has the professional credentials of MA,LPC. The NPI Number for Samuel Gary Johnson I is 1710999735 and holds a License No. PC003785 (Pennsylvania).

The current practice location address for Samuel Gary Johnson I is 19 Central Ave, Oil City, PA and can be reached out via phone at 814-678-6900 and via fax at 814-678-6902.

Location: 19 Central Ave, Oil City, PA, 16301-2733
person
Provider Profile Details
NPI Number
1710999735
Provider Name
Samuel Gary Johnson I
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
19 Central Ave, Oil City, PA, 16301-2733
Phone Number
814-678-6900
Fax Number
814-678-6902
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
372735 01 PA MHN
1748907 01 PA BLUE SHIELD
565603 01 PA VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
19 Central Ave
City
State
Zip
16301-2733
Phone Number
814-678-6900
Fax Number
814-678-6902
person
Provider Business Mailing Address Details
Address
19 Central Ave
City
State
Zip
16301-2733
Phone Number
814-678-6900
Fax Number
814-678-6902
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PC003785 (Pennsylvania)
Definition
Definition to come...
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