Individual provider · Type 1 NPI

Tyler Johnston

Mental Health Counselor · San Luis Obispo, CA

NPI number 1053591891 Active

Practice location

3765 S Higuera St Ste 100
San Luis Obispo, CA 93401-1577

Call (805) 781-3535 Map

Mailing address

2540 Greta Pl
San Luis Obispo, CA 93401-5318

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053591891

Tyler Johnston's National Provider Identifier is 1053591891, issued on Nov 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Luis Obispo, CA. The record was last updated on Nov 9, 2007.