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Provider Information for 1912497306


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MARGARET ELIZABETH JOHNSTON LMHC


Sex: Female

NPI: 1912497306
Last Updated: 2018-05-11
Certification Date:

Details

NameValue
NPI1912497306
Enumeration Date2018-05-11
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 11265 ALUMNI WAY
JACKSONVILLE, FL 32246-6685
United States

Phone: 904-398-2020 | Fax:904-724-2172
 
Primary Practice Address 11265 ALUMNI WAY
JACKSONVILLE, FL 32246-6685
United States

Phone: 904-398-2020 | Fax:904-724-2172
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH15423