| Doctor Name: | MRS. ANDREA REBECCA JOHNSTON |
| NPI Number: | 1386988319 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCA, LCAS-P, MA |
| License Number: | 3008-A |
| Business Practice Address: | 2400 N. Croatan Hwy Suite F Kill Devil Hills, NC - 27948 |
| Business Phone Number: | 2523056612 |
| Business Fax Number: | 2524494050 |
| Mailing Address: | 2400 N. Croatan Hwy, Suite F KILL DEVIL HILLS |
| State: | NC |
| Postal Code: | 27948 |
| Phone Number: | 2523056612 |
| Fax Number: | 2524494050 |
| NPI Enumeration Date: | 11/15/2012 |
| NPI Last Update Date: | 11/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 3008-A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |