Individual
SKYLER ALEC JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
5319 SW WESTGATE DR STE 113, PORTLAND, OR 97221-2432
(503) 928-6542
Mailing address
2305 NE MULTNOMAH ST, PORTLAND, OR 97232-2123
(206) 753-7424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C5526
OR
Other
Enumeration date
11/28/2017
Last updated
11/23/2020
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