MR. Michael Clarence Johnston, MHS, LPC, CA-C
NPI #1780999847 in Brodheadsville, Pennsylvania
Provider Information
- NPI Number
- 1780999847
- Entity Type
- Individual
- Name
- MR. Michael Clarence Johnston, MHS, LPC, CA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MHS, LPC, CA-C
- Enumeration Date
- Aug 13, 2010
- Last Updated
- Dec 3, 2014
Practice Location
- Address
- 1843 ROUTE 209
- Address 2
- SOUTH SAFEWAY STORAGE COMPLEX
- City
- Brodheadsville
- State
- Pennsylvania
- ZIP Code
- 18322
- Phone
- (570) 426-0096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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