Individual provider · Type 1 NPI

Ellen Marie Johnston, MA

Mental Health Counselor · Raeford, NC

NPI number 1639436686 Active

Practice location

632 W Prospect Ave
Raeford, NC 28376-2512

Call (910) 875-5590 Map

Fax (910) 875-5008

Mailing address

110 Deer Lodge Ct
Raeford, NC 28376-5473

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X13322 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1639436686

Ellen Marie Johnston, MA's National Provider Identifier is 1639436686, issued on Apr 16, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raeford, NC. The record was last updated on Oct 21, 2026.