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: |