Individual
OLIVER GEORGE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(531) 355-3358
(531) 355-3375
Mailing address
13460 WALSH DR, BOYS TOWN, NE 68010-7529
(531) 355-3362
(531) 355-3375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
12163
NE
103TC0700X
Clinical Psychologist
Primary
071-010892
IL
Other
Enumeration date
03/12/2018
Last updated
08/23/2023
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