Individual
EMILY R. JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1631 E 2ND ST STE E, AUSTIN, TX 78702-4491
(512) 804-3650
(512) 476-0217
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
40531
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201495301
—
TX
Enumeration date
07/31/2008
Last updated
10/28/2010
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