Individual
MRS. JENNIFER BETH JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
246 XYZ RANCH RD., SILVER CITY, NM 88061-0246
(505) 388-4025
Mailing address
1802 N ALABAMA ST, SILVER CITY, NM 88061-4304
(505) 534-9578
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0073641
NM
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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