Individual
HEATHER JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 TEXAS WILDLIFE TRL, AUSTIN, TX 78735-1739
(512) 705-8161
Mailing address
4010 TEXAS WILDLIFE TRL, AUSTIN, TX 78735-1739
(512) 705-8161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
92741
TX
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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