| Douglass David Johnston, LCSW | |
|
111 Front St, Wyalusing, PA 18853-7505 | |
| (570) 746-6003 | |
| (570) 746-2011 |
| Full Name | Douglass David Johnston |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 111 Front St, Wyalusing, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306911078 | NPI | - | NPPES |
| SW000365E | Other | PA | SOCIAL WORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW000365E (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Douglass David Johnston, LCSW Po Box 174, 114 Main Street, Wyalusing, PA 18853-0174 Ph: (570) 746-6003 | Douglass David Johnston, LCSW 111 Front St, Wyalusing, PA 18853-7505 Ph: (570) 746-6003 |
Henry Michael Laboranti, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 State Street, Wyalusing, PA 18853 Phone: 570-871-0143 | |
Holli Caine, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 Front St, Wyalusing, PA 18853 Phone: 570-746-6003 |