MARK IVAN JOHNSTUN

GRANTS PASS, OR
NPI1932496536
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  C2179)
Enumeration Date2011-07-01
Last Update Date2024-02-07
Business Address
Mr. MARK IVAN JOHNSTUN LPC
1181 SW RAMSEY AVE
GRANTS PASS, OR 97527-5835
Phone number: 541-476-2373
Mailing Address
Mr. MARK IVAN JOHNSTUN LPC
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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