person
Mr. Mark Ivan Johnstun, LPC
Professional Counselor in Grants Pass, Oregon
NPI 1932496536

Mark Ivan Johnstun is a Professional Counselor based in Grants Pass, OR and is specialized in Professional. Mark Ivan Johnstun practices in Grants Pass, OR and has the professional credentials of LPC. The NPI Number for Mark Ivan Johnstun is 1932496536 and holds a License No. C2179 (Oregon).

The current practice location address for Mark Ivan Johnstun is 1181 Sw Ramsey Ave, Grants Pass, OR and can be reached out via phone at 541-476-2373 and via fax at 541-476-1526.

Location: 1181 Sw Ramsey Ave, Grants Pass, OR, 97526-2544
person
Provider Profile Details
NPI Number
1932496536
Provider Name
Mark Ivan Johnstun
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1181 Sw Ramsey Ave, Grants Pass, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
541-476-1526
Provider Enumeration Date
07/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1181 Sw Ramsey Ave
City
State
Zip
97527-5835
Phone Number
541-476-2373
Fax Number
541-476-1526
person
Provider Business Mailing Address Details
Address
1181 Sw Ramsey Ave
City
State
Zip
97527-5835
Phone Number
541-476-2373
Fax Number
541-476-1526
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C2179 (Oregon)
Definition
Definition to come...
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