Provider Demographics
NPI:1588479604
Name:JOHNSTONE, REBECCA ROSE (LMFTA)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ROSE
Last Name:JOHNSTONE
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5120 152ND AVENUE CT E
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-3208
Mailing Address - Country:US
Mailing Address - Phone:360-213-4270
Mailing Address - Fax:
Practice Address - Street 1:314 182ND AVE E UNIT C
Practice Address - Street 2:
Practice Address - City:LAKE TAPPS
Practice Address - State:WA
Practice Address - Zip Code:98391-5704
Practice Address - Country:US
Practice Address - Phone:253-501-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist