Individual
JASON JOHNSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPA
Contact information
Practice address
313 WALNUT ST, SUITE 111, WILMINGTON, NC 28401-4067
(910) 368-9981
Mailing address
313 WALNUT ST, SUITE 111, WILMINGTON, NC 28401-4067
(910) 368-9981
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4645
NC
Other
Enumeration date
01/17/2016
Last updated
12/01/2016
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