Provider Demographics
NPI:1336465970
Name:JOHNSTON, JULIE ALANE
Entity Type:Individual
Prefix:MISS
First Name:JULIE
Middle Name:ALANE
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8362
Mailing Address - Street 2:
Mailing Address - City:BODFISH
Mailing Address - State:CA
Mailing Address - Zip Code:93205-8362
Mailing Address - Country:US
Mailing Address - Phone:707-494-0094
Mailing Address - Fax:
Practice Address - Street 1:2504 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304
Practice Address - Country:US
Practice Address - Phone:661-326-0485
Practice Address - Fax:661-326-1455
Is Sole Proprietor?:No
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)