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PAULINE JOHNSON

Behavioral Health & Social Service Providers Counselor Mental Health

Provider NPI: 1306359286

Provider Information:
 PAULINE  JOHNSON 
Gender: F
Not Sole Proprietor

Practice Location:
417 LANARK RD  SAINT LOUIS, MO 63137-4013 US
Tel: 661-557-2458  Fax: --

Business Mailing Address:
PO BOX 21342  SAINT LOUIS, MO 63115-0442 US
Tel: 661-557-2458  Fax: --

NPI Information:
NPI: 1306359286
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
N103TA0700XBehavioral Health & Social Service Providers
Psychologist
N103TB0200XBehavioral Health & Social Service Providers
Psychologist
Y374U00000XNursing Service Related Providers
Home Health Aide

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 374U00000X

Type:

Classification:



Definition:



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