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NPI Code Detail

MEDICARE: MISS KENDRA JOHNSTON LPCA

MEDICARE:  MISS KENDRA  JOHNSTON  LPCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorA12071NC

General Provider Information

NPI Number : 1235593526
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KENDRA JOHNSTON LPCA
Provider Business Mailing Address
First Line : 110 HIDDEN SPRINGS DR
Second Line :
City : DURHAM
State : NC
Zip : 27703-4917
Country : US
Telephone Number : 434-944-7970
Fax Number :
Provider Business Practice Location Address
First Line : 110 HIDDEN SPRINGS DR
Second Line :
City : DURHAM
State : NC
Zip : 27703-4917
Country : US
Telephone Number : 434-944-7970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2016
Last Update Date : 04/27/2016

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Directions to “ MISS KENDRA JOHNSTON LPCA” Practice Location

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