| Doctor Name: | MR. TOM JOHNSTON |
| NPI Number: | 1588694996 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, LMFT |
| License Number: | 2634 |
| Business Practice Address: | 1002 Highland Ave 2nd Floor Shreveport, LA - 711014143 |
| Business Phone Number: | 3182226226 |
| Business Fax Number: | 3182218526 |
| Mailing Address: | 1002 Highland Ave, 2nd Floor SHREVEPORT |
| State: | LA |
| Postal Code: | 71101 |
| Phone Number: | 3182226226 |
| Fax Number: | 3182218526 |
| NPI Enumeration Date: | 07/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2634 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |