| A Johnston Therapy, Pllc | |
|
600 Demers Ave Ste 303 Grand Forks ND 58201-4599 | |
| (701) 757-0292 | |
| (888) 298-8879 |
| Full Name | A Johnston Therapy, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 600 Demers Ave Ste 303, Grand Forks, North Dakota |
| Authorized Official Name and Position | Alana D Johnston (OWNER) |
| Authorized Official Contact | 7013302071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Johnston Therapy, Pllc 600 Demers Ave Ste 303 Grand Forks ND 58201-4599 Ph: (701) 757-0292 | A Johnston Therapy, Pllc 600 Demers Ave Ste 303 Grand Forks ND 58201-4599 Ph: (701) 757-0292 |
| NPI Number | 1881321362 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/09/2023 |
| Medicare PECOS PAC ID | 2961923164 |
|---|---|
| Medicare Enrollment ID | O20250304002876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881321362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alana D Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740714161 PECOS PAC ID: 4082001755 Enrollment ID: I20220427001577 |
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