Individual
MR. TOM JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
1002 HIGHLAND AVE, 2ND FLOOR, SHREVEPORT, LA 71101-4143
(318) 222-6226
(318) 221-8526
Mailing address
1002 HIGHLAND AVE, 2ND FLOOR, SHREVEPORT, LA 71101
(318) 222-6226
(318) 221-8526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2634
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G3531
BLUE CROSS OF LA
LA
Enumeration date
07/03/2006
Last updated
07/08/2007
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