Doctor Name: | MRS. CAROL L JOHNSTON |
NPI Number: | 1194961698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA COUNSELING |
License Number: | PC002110 |
Business Practice Address: | 617 W 3rd Ave Lititz, PA - 175439306 |
Business Phone Number: | 7176262018 |
Business Fax Number: | |
Mailing Address: | 617 W 3rd Ave, LITITZ |
State: | PA |
Postal Code: | 175439306 |
Phone Number: | 7176262018 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2009 |
NPI Last Update Date: | 01/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC002110 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |