Provider Demographics
NPI:1740447556
Name:JOHNSTON, JOSEPH CARTER II (LPC-MHSP)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:CARTER
Last Name:JOHNSTON
Suffix:II
Gender:M
Credentials:LPC-MHSP
Other - Prefix:MR
Other - First Name:JODY
Other - Middle Name:C
Other - Last Name:JOHNSTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC-MHSP
Mailing Address - Street 1:2700 S ROAN ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-7556
Mailing Address - Country:US
Mailing Address - Phone:423-943-5550
Mailing Address - Fax:
Practice Address - Street 1:2700 SOUTH ROAN STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601
Practice Address - Country:US
Practice Address - Phone:423-943-5550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2303101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional