Provider Demographics
NPI:1740714161
Name:JOHNSTON, ALANA
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALANA
Other - Middle Name:
Other - Last Name:REILLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2300 LIBRARY CIR
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-6328
Mailing Address - Country:US
Mailing Address - Phone:701-330-2071
Mailing Address - Fax:701-772-1763
Practice Address - Street 1:2300 LIBRARY CIR
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-6328
Practice Address - Country:US
Practice Address - Phone:701-330-2071
Practice Address - Fax:701-772-1763
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-12
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND4257104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker