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Taylor Johnston

Counselor, Mental Health in Lubbock, TX. Individual provider (NPI-1).

NPI number1982309563
StatusActive
Last updated in NPPESApr 3, 2023

Details

NPI
1982309563
Entity type
Individual (NPI-1)
Name
Taylor Johnston
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 3, 2023
Certification date
Apr 3, 2023
Last updated
Apr 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health87293TXYes

Practice location

3601 4th St
Lubbock, TX 79430-0002

Phone 806-743-6627

Mailing address

3826 53rd St
Lubbock, TX 79413-3824

Phone 806-535-2540

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