Individual
MICHELLE A JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12705 W SAN JUAN AVE, LITCHFIELD PARK, AZ 85340-4115
(623) 764-3588
Mailing address
8399 N 97TH DR, PEORIA, AZ 85345-3710
(623) 764-3588
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-17525
AZ
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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