Individual
MRS. ANDREA REBECCA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA, LCAS-P, MA
Contact information
Practice address
2400 N. CROATAN HWY, SUITE F, KILL DEVIL HILLS, NC 27948
(252) 305-6612
(252) 449-4050
Mailing address
2400 N. CROATAN HWY, SUITE F, KILL DEVIL HILLS, NC 27948
(252) 305-6612
(252) 449-4050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3008-A
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-A-3008-A
NC
101YM0800X
Mental Health Counselor
A9644
NC
101YM0800X
Mental Health Counselor
LPC9644
NC
101YP2500X
Professional Counselor
A9644
NC
101YP2500X
Professional Counselor
Primary
LPC9644
NC
Other
Enumeration date
11/15/2012
Last updated
11/18/2015
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