Marjorie Marie Johnston
Community/Behavioral Health in Idaho Falls, ID. Individual provider (NPI-1).
NPI number1033891981
StatusActive
Last updated in NPPESAug 1, 2023
Details
- NPI
- 1033891981
- Entity type
- Individual (NPI-1)
- Name
- Marjorie Marie Johnston
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2023
- Certification date
- Aug 1, 2023
- Last updated
- Aug 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | ID | Yes |
Practice location
486 11th StIdaho Falls, ID 83404-4851
Phone 208-206-1483
Mailing address
486 11th StIdaho Falls, ID 83404-4851
Phone 208-206-1483
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All 64 Community/Behavioral Health Agency providers in Idaho Falls · All 3,646 providers in Idaho Falls
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