Organization
HEATHER L JOHNSTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER L JOHNSTON LCSW (OWNER)
(260) 498-8009
Entity
Organization
Contact information
Practice address
2420 N COLISEUM BLVD STE 201, FORT WAYNE, IN 46805-3139
(260) 498-8009
(260) 408-5309
Mailing address
2420 N COLISEUM BLVD STE 201, FORT WAYNE, IN 46805-3139
(260) 498-8009
(260) 408-5309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34004652A
IN
Other
Enumeration date
09/29/2017
Last updated
07/21/2022
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