| Doctor Name: | MRS. LAURA C JOHNSTON |
| NPI Number: | 1164551750 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LADC1, LMHC |
| License Number: | |
| Business Practice Address: | 1244 Broadway Suite 3 Raynham, MA - 02767 |
| Business Phone Number: | 5088241780 |
| Business Fax Number: | 5088245572 |
| Mailing Address: | Po Box 1248, MANSFIELD |
| State: | MA |
| Postal Code: | 020485248 |
| Phone Number: | 5088024199 |
| Fax Number: | 5086744493 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 02/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |