Provider Information for 1720011604
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Mr. JAMES MARION JOHNSTON LMFT
Sex: Male
NPI: 1720011604
Last Updated: 2012-02-22
Certification Date:
Certification Date:
Details
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NPI | 1720011604 | ||||||||||||
Enumeration Date | 2006-07-07 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 299 FAIRVIEW RD ASHEVILLE, NC 28803 United States Phone: 828-545-5467 | Fax:828-692-7710 | ||||||||||||
Primary Practice Address | 529 COUNTRY CLUB RD BREVARD, NC 28712-4011 United States Phone: 828-883-9676 | Fax:828-884-9753 | ||||||||||||
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