Doctor Name: | MR. JOHN L JOHNSTON |
NPI Number: | 1215904149 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCC |
License Number: | E0003320 |
Business Practice Address: | 5469 Glen Ebon Rd Nelsonville, OH - 457649546 |
Business Phone Number: | 7405917762 |
Business Fax Number: | 7407534719 |
Mailing Address: | Po Box 135, NELSONVILLE |
State: | OH |
Postal Code: | 457640135 |
Phone Number: | 7405917762 |
Fax Number: | 7407534719 |
NPI Enumeration Date: | 02/28/2006 |
NPI Last Update Date: | 07/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E0003320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |