Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Margie Rae Johnson, PEERSUPPORTSPECIAL

Individual provider Counselor · NPI 1609662154

Margie Rae Johnson, PEERSUPPORTSPECIAL is a Counselor in Modesto, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

1202 H St Ste D
Modesto, CA 95354-2443
Phone: (209) 450-2397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence MPSS-RVKQPG (CA)

Record details

NPI number1609662154
Entity typeIndividual (Type 1)
GenderFemale
Credentials PEERSUPPORTSPECIAL
Sole proprietorNo
NPI enumeratedApril 18, 2025
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025

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