Individual
MS. EDITH D JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
800 A ST, DELTA, CO 81416-2627
(970) 216-5753
(970) 874-2840
Mailing address
P.O. BOX 301, DELTA, CO 81416
(970) 216-5753
(970) 874-2840
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2162
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59920874
—
CO
Enumeration date
08/28/2006
Last updated
12/15/2016
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