Individual
MATT JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 N MERIDIAN ST STE 202A, INDIANAPOLIS, IN 46202-1433
(317) 550-3737
Mailing address
1800 N MERIDIAN ST STE 202A, INDIANAPOLIS, IN 46202-1433
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IN
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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