person
Lisa Gay Johnston
Peer Specialist in Pocatello, Idaho
NPI 1760980023

Lisa Gay Johnston is a Peer Specialist based in Pocatello, ID. Lisa Gay Johnston practices in Pocatello, ID. The NPI Number for Lisa Gay Johnston is 1760980023 and holds a License No. (Idaho).

The current practice location address for Lisa Gay Johnston is 444 Hospital Way Ste 477, Pocatello, ID and can be reached out via phone at 208-233-7832. You can also correspond with Lisa Gay Johnston through the mailing address at 444 HOSPITAL WAY STE 477, POCATELLO, ID - 83201-2744 (mailing address contact number: 208-233-7832).

Location: 444 Hospital Way Ste 477, Pocatello, ID, 83201-2744
person
Provider Profile Details
NPI Number
1760980023
Provider Name
Lisa Gay Johnston
Credential
Provider Entity Type
Individual
Gender
Female
Address
444 Hospital Way Ste 477, Pocatello, ID, 83201-2744
Phone Number
208-233-7832
Fax Number
Provider Enumeration Date
01/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
444 Hospital Way Ste 477
City
State
Zip
83201-2744
Phone Number
208-233-7832
Fax Number
person
Provider Business Mailing Address Details
Address
444 Hospital Way Ste 477
City
State
Zip
83201-2744
Phone Number
208-233-7832
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Idaho)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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