| Journey Counseling Corp | |
|
1103 Jenson Ave Se Watertown SD 57201-5259 | |
| (605) 878-1234 | |
| (605) 878-2211 |
| Full Name | Journey Counseling Corp |
|---|---|
| Speciality | Counselor |
| Location | 1103 Jenson Ave Se, Watertown, South Dakota |
| Authorized Official Name and Position | Mary Kay Johnson (CLINICAL THERAPIST) |
| Authorized Official Contact | 6058810860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Counseling Corp 1103 Jenson Ave Se Watertown SD 57201-5259 Ph: (605) 878-1234 | Journey Counseling Corp 1103 Jenson Ave Se Watertown SD 57201-5259 Ph: (605) 878-1234 |
| NPI Number | 1790429652 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 05/04/2022 |
| Certification Date | 05/04/2022 |
| Medicare PECOS PAC ID | 3274913652 |
|---|---|
| Medicare Enrollment ID | O20220630003036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790429652 | NPI | - | NPPES |
| Provider Name | Mary Kay Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598848921 PECOS PAC ID: 1951396712 Enrollment ID: I20040420000297 |
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