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Individual

EDWARD RICHARDS JOHNSTON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPA

Contact information

Practice address
111 MCDOWELL ST, ASHEVILLE, NC 28801-4409
(828) 412-3144
(828) 782-3002
Mailing address
61 INDIAN TRL, ASHEVILLE, NC 28803-8570
(828) 329-9670

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1866
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0454A
BCBS OF NC
NC
05
6107299
NC
01
N/A
CBHA
NC
Enumeration date
03/09/2006
Last updated
04/19/2024
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