| NPI | 1740447556 |
|---|---|
| Other Name | JODY C JOHNSTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 2303) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 2303) |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |