Individual
PAIGE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPC
Contact information
Practice address
140 E BROADWAY AVE STE B-13, JACKSON, WY 83001-8632
(307) 413-8393
Mailing address
1200 MELODY CREEK LN, JACKSON, WY 83001-8982
(307) 413-8393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-1390
WY
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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