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Individual

ELLEN M. JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
(910) 221-9006
Mailing address
806 HAY ST, FAYETTEVILLE, NC 28305-5312
(910) 860-7008
(910) 221-9006

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13322
NC
101YP2500X
Professional Counselor
LPC 1174
AZ

Other

Enumeration date
04/16/2012
Last updated
09/17/2020
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