Individual
MARY JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
563 S WATER AVE, GALLATIN, TN 37066-6339
(615) 812-9928
Mailing address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
07/06/2017
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