Provider Demographics
NPI:1760491146
Name:JOHNSTON, MARIA LUISA BORJA (MS COUNSELING, MFT)
Entity type:Individual
Prefix:MRS
First Name:MARIA LUISA
Middle Name:BORJA
Last Name:JOHNSTON
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Gender:F
Credentials:MS COUNSELING, MFT
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Mailing Address - Street 1:3101 SUNSET BLVD
Mailing Address - Street 2:SUITE B6
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-3095
Mailing Address - Country:US
Mailing Address - Phone:916-606-4983
Mailing Address - Fax:916-735-8742
Practice Address - Street 1:3101 SUNSET BLVD
Practice Address - Street 2:SUITE B6
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-3095
Practice Address - Country:US
Practice Address - Phone:916-606-4983
Practice Address - Fax:916-735-8742
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2013-04-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA49718106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist