| NPI | 1184223679 |
|---|---|
| Former Name | JAMIE LEE JOHNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 135575-121) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 19387) | |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2026-01-30 |