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NPI Code Detail

MEDICARE: CHRISTINA JOHNSTON LMFT

MEDICARE:   CHRISTINA  JOHNSTON  LMFT
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
1106H00000XMarriage & Family Therapist140620CA

General Provider Information

NPI Number : 1619428000
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA JOHNSTON LMFT
Provider Business Mailing Address
First Line : 530 OCEAN ST STE A
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-6628
Country : US
Telephone Number : 831-400-6430
Fax Number :
Provider Business Practice Location Address
First Line : 530 OCEAN ST STE A
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-6628
Country : US
Telephone Number : 831-400-6430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2016
Last Update Date : 12/24/2024

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Directions to “ CHRISTINA JOHNSTON LMFT” Practice Location

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