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NPI Code Detail

MEDICARE: LESLIE JOHNSTON MSW

MEDICARE: LESLIE JOHNSTON MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2104100000XSocial Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467787499
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE JOHNSTON MSW
Provider Business Mailing Address
First Line : 110 HIDDEN VALLEY RD
Second Line :
City : MC MURRAY
State : PA
Zip : 15317-2685
Country : US
Telephone Number : 724-941-4070
Fax Number : 724-941-5083
Provider Business Practice Location Address
First Line : 110 HIDDEN VALLEY RD
Second Line :
City : MC MURRAY
State : PA
Zip : 15317-2685
Country : US
Telephone Number : 724-941-4070
Fax Number : 724-941-5083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2009
Last Update Date : 12/08/2022

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