institution
Beth Johnston, Lcsw, Pllc
Mental Health Clinic/Center (Including Community Mental Health Center) in Rockford, Illinois
NPI 1659023885

Beth Johnston, Lcsw, Pllc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Rockford, IL and is specialized in Mental Health (Including Community Mental Health Center). Beth Johnston, Lcsw, Pllc practices in Rockford, IL. The NPI Number for Beth Johnston, Lcsw, Pllc is 1659023885 and holds a License No. (Illinois).

The current practice location address for Beth Johnston, Lcsw, Pllc is 5758 Elaine Dr Ste 110, Rockford, IL and can be reached out via phone at 815-289-8619.

Location: 5758 Elaine Dr Ste 110, Rockford, IL, 61108-3102
institution
Provider Profile Details
NPI Number
1659023885
Provider Name
Beth Johnston, Lcsw, Pllc
Credential
Provider Entity Type
Organization
Address
5758 Elaine Dr Ste 110, Rockford, IL, 61108-3102
Phone Number
815-289-8619
Fax Number
Provider Enumeration Date
01/19/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891343877 05 IL
institution
Provider Business Practice Location Address Details
Address
5758 Elaine Dr Ste 110
City
State
Zip
61108-3102
Phone Number
815-289-8619
Fax Number
person
Provider Business Mailing Address Details
Address
5758 Elaine Dr Ste 110
City
State
Zip
61108-3102
Phone Number
815-289-8619
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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