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Awilda Vega Johnston, LPMFT
Mental Health Counselor in Fulton, New York
NPI 1588291454

Awilda Vega Johnston is a Mental Health Counselor based in Rome, NY and is specialized in Mental Health. Awilda Vega Johnston practices in Fulton, NY and has the professional credentials of LPMFT. The NPI Number for Awilda Vega Johnston is 1588291454 and holds a License No. P104680 (New York).

The current practice location address for Awilda Vega Johnston is 92 N. 2Nd St., Fulton, NY and can be reached out via phone at 315-326-3555.

Location: 92 N. 2Nd St., Fulton, NY, 13440-2539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588291454
Provider Name
Awilda Vega Johnston
Credential
LPMFT
Provider Entity Type
Individual
Gender
Female
Address
92 N. 2Nd St., Fulton, NY, 13440-2539
Phone Number
315-326-3555
Fax Number
Provider Enumeration Date
03/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05 05 NY
institution
Provider Business Practice Location Address Details
Address
92 N. 2Nd St.
City
Fulton
State
New York
Zip
13069
Phone Number
315-326-3555
Fax Number
person
Provider Business Mailing Address Details
Address
92 N. 2Nd St.
City
Fulton
State
New York
Zip
13069
Phone Number
315-326-3555
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
P104680 (New York)
Definition
Definition to come...
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