Individual provider · Type 1 NPI

Mallory Johnston, MHP

Mental Health Counselor · Mount Vernon, IL

NPI number 1972128544 Active

Practice location

4110 N Water Tower Pl
Mount Vernon, IL 62864-6295

Call (618) 214-2760 Map

Mailing address

2103 Forest Ave
Mount Vernon, IL 62864-4735

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972128544

Mallory Johnston, MHP's National Provider Identifier is 1972128544, issued on Jun 10, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Vernon, IL. The record was last updated on Jun 10, 2020.