Provider Demographics
NPI:1720011604
Name:JOHNSTON, JAMES MARION (LMFT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MARION
Last Name:JOHNSTON
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803
Mailing Address - Country:US
Mailing Address - Phone:828-545-5467
Mailing Address - Fax:828-692-7710
Practice Address - Street 1:529 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-4011
Practice Address - Country:US
Practice Address - Phone:828-883-9676
Practice Address - Fax:828-884-9753
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC893106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13717OtherNVML BCBSNC # 015HF
NC6105026Medicaid