person
Ms. Mary Teresa Johnston, MA,OTR/L
Mental Health Counselor in Gardena, California
NPI 1174778336

Mary Teresa Johnston is a Mental Health Counselor based in Gardena, CA and is specialized in Mental Health. Mary Teresa Johnston practices in Gardena, CA and has the professional credentials of MA,OTR/L. The NPI Number for Mary Teresa Johnston is 1174778336 and holds a License No. 1610 (California).

The current practice location address for Mary Teresa Johnston is 130 W Victoria St, Gardena, CA and can be reached out via phone at 310-715-2020 and via fax at 310-715-2705.

Location: 130 W Victoria St, Gardena, CA, 90248-3523
person
Provider Profile Details
NPI Number
1174778336
Provider Name
Mary Teresa Johnston
Credential
MA,OTR/L
Provider Entity Type
Individual
Gender
Female
Address
130 W Victoria St, Gardena, CA, 90248-3523
Phone Number
310-715-2020
Fax Number
310-715-2705
Provider Enumeration Date
12/01/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 W Victoria St
City
State
Zip
90248-3523
Phone Number
310-715-2020
Fax Number
310-715-2705
person
Provider Business Mailing Address Details
Address
130 W Victoria St
City
State
Zip
90248-3523
Phone Number
310-715-2020
Fax Number
310-715-2705
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1610 (California)
Definition
Definition to come...
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