MEDICARE: MRS. JOY E. JOHNSTON MFT

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
1	101YM0800X	Mental Health Counselor	MFC 22241	CA

General Provider Information

NPI Number	:	1598805145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOY E. JOHNSTON MFT

Provider Business Mailing Address
First Line	:	3020 ROYAL PALM DR
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-3738
Country	:	US
Telephone Number	:	714-979-3577
Fax Number	:	714-979-3577

Provider Business Practice Location Address
First Line	:	3020 ROYAL PALM DR
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-3738
Country	:	US
Telephone Number	:	714-979-3577
Fax Number	:	714-979-3577

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	07/08/2007

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