Individual
ALICIA JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7220 N 16TH ST STE G, PHOENIX, AZ 85020-5253
(480) 525-7284
Mailing address
1326 W MARSHALL AVE, PHOENIX, AZ 85013-1740
(602) 818-3262
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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