| Cjohnstontherapy Llc | |
|
39 N 7th St Ste 201 Stroudsburg PA 18360-2144 | |
| (570) 664-6658 | |
| Not Available |
| Full Name | Cjohnstontherapy Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 39 N 7th St Ste 201, Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Caroline Mckinley Johnston (OWNER) |
| Authorized Official Contact | 5706646658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cjohnstontherapy Llc 39 N 7th St Ste 201 Stroudsburg PA 18360-2144 Ph: (570) 664-6658 | Cjohnstontherapy Llc 39 N 7th St Ste 201 Stroudsburg PA 18360-2144 Ph: (570) 664-6658 |
| NPI Number | 1518745587 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Medicare PECOS PAC ID | 5698122463 |
|---|---|
| Medicare Enrollment ID | O20231116000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518745587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Caroline M Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366885808 PECOS PAC ID: 9931404050 Enrollment ID: I20180606000191 |
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