Individual
TESSIA MAE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
111 NORTH ST, RAPID CITY, SD 57701-1163
(605) 381-0351
Mailing address
111 NORTH ST, RAPID CITY, SD 57701-1163
(605) 381-0351
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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