Provider Demographics
NPI:1518277664
Name:JOHNSTON, CYNTHIA MCRAE (LPC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:MCRAE
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1308 EAGLE VIEW DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-6442
Mailing Address - Country:US
Mailing Address - Phone:614-351-9541
Mailing Address - Fax:
Practice Address - Street 1:2085 MECCA RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-4512
Practice Address - Country:US
Practice Address - Phone:614-337-1986
Practice Address - Fax:614-337-2936
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC 1000136101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health