Most Relevant Information
Provider Data
NPI Number: | 1003540311 |
Provider Name: | AMBER LEA JOHNSTON PLPC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 2022020085 |
Most Important Dates
Enumeration Date: | 07/12/2022 |
Last Updated: | 07/12/2022 |
Provider Practice Location
103 W 10TH ST
ROLLA
MO
65401
Practice Location Phone/Fax
Phone: | 5734334846 |
Fax: |
Provider Mailing Location
103 W 10TH ST
ROLLA
MO
654013247
Provider Mailing Phone/Fax
Phone: | 5734334846 |
Fax: |