Johnston, Jeffrey Lynn

Johnston, Jeffrey Lynn is an individual health care provider with primary practice located at 1221 N Kingshighway St Imperial Building, Cape Girardeau MO 63701-3506. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Johnston, Jeffrey Lynn can be contacted via phone (573) 335-7929.

Contact Information

Primary practice address
1221 N Kingshighway St Imperial Building Cape Girardeau MO 63701-3506
Phone: (573) 335-7929
Fax: (573) 335-6445
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 001582 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 002119 Missouri

Profile Details

NPI number 1972673556
LBN Legal business name Johnston, Jeffrey Lynn
Credentials PH.D., LCSW, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972673556 NPPES
Other 2030308 CIGNA
Other 111071 CIGNA
Other 19655 CIGNA
Other 10852003 CIGNA

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