Organization · Type 2 NPI
Heather L Johnston, LLC
Mental Health Counselor · Fort Wayne, IN
NPI number
1871002121
Active
Practice location
2420 N Coliseum Blvd Ste 201
Fort Wayne, IN 46805-3139
Fax (260) 408-5309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 34004652A (IN) |
Mental Health Counselor: Definition to come...
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About NPI 1871002121
Heather L Johnston, LLC's National Provider Identifier is 1871002121, issued on Sep 29, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 21, 2022.