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Individual

DR. JEFFREY LYNN JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D., LCSW, LPC

Contact information

Practice address
1221 N KINGSHIGHWAY ST, IMPERIAL BUILDING, CAPE GIRARDEAU, MO 63701-3506
(573) 335-7929
(573) 335-6445
Mailing address
PO BOX 645, CAPE GIRARDEAU, MO 63702-0645
(573) 335-7929
(573) 335-6445

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001582
MO
1041C0700X
Clinical Social Worker
002119
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10852003
CAQH
01
111071
VALUE OPTIONS
01
19655
BLUE CROSS BLUE SHIELD
01
2030308
CIGNA
Enumeration date
11/09/2006
Last updated
09/11/2025
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