Doctor Name: | MS. LOLA NIXON JOHNSTON |
NPI Number: | 1982976726 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 3254 |
Business Practice Address: | 150 Northwood Dr Centre, AL - 359601017 |
Business Phone Number: | 2564901758 |
Business Fax Number: | |
Mailing Address: | 710 Big Nose Dr, CENTRE |
State: | AL |
Postal Code: | 359602433 |
Phone Number: | 2564901758 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2012 |
NPI Last Update Date: | 08/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3254 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |