NPI | 1043761323 |
---|---|
Other Name | ERIN SHOCKLEE JOHNSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6623) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1570) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2016-10-20 |
Last Update Date | 2023-04-06 |