MRS. Vanessa M Johnston, L.C.S.W.

NPI #1871801969 in Aurora, Missouri

Provider Information

NPI Number: 1871801969
Entity Type: Individual
Name: MRS. Vanessa M Johnston, L.C.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: L.C.S.W.
Enumeration Date: Sep 22, 2010
Last Updated: Sep 22, 2010

Practice Location

Address: 903 SUNSHINE DR
City: Aurora
State: Missouri
ZIP Code: 65605-1955
Phone: (417) 678-5361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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