| NPI | 1043013899 |
|---|---|
| Former Legal Business Name | PHILIP B. JOHNSON, M.S., P.C. |
| Entity Type | Organization |
| Authorized Contact | PHILIP BIESINGER JOHNSON President 385-888-2284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-03-28 |