Individual provider · Type 1 NPI
Tracy Lyn Johnston, L.M.H.C.
Mental Health Counselor · Orange Park, FL
NPI number
1770619561
Active
Practice location
165 Wells Rd Ste 165
Orange Park, FL 32073
Fax (904) 269-3424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist | 222Q00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | MH 2841 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1770619561
Tracy Lyn Johnston, L.M.H.C.'s National Provider Identifier is 1770619561, issued on Feb 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Orange Park, FL. The record was last updated on Oct 5, 2018.