Provider Demographics
NPI:1285996199
Name:JOHNSTONE, PRECIOUS-PEARL TRISHA-ELAINE (CRC,LCMHC)
Entity type:Individual
Prefix:MS
First Name:PRECIOUS-PEARL
Middle Name:TRISHA-ELAINE
Last Name:JOHNSTONE
Suffix:
Gender:F
Credentials:CRC,LCMHC
Other - Prefix:
Other - First Name:PRECIOUS-PEARL
Other - Middle Name:TRISHA-ELAINE
Other - Last Name:JOHNSTONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRC, LCMHC
Mailing Address - Street 1:1903 N HARRISON AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-3093
Mailing Address - Country:US
Mailing Address - Phone:910-315-5579
Mailing Address - Fax:888-964-2664
Practice Address - Street 1:1903 N HARRISON AVE STE 200
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3093
Practice Address - Country:US
Practice Address - Phone:910-315-5579
Practice Address - Fax:888-964-2664
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8724101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional