Provider Demographics
NPI:1851627871
Name:JOHNSTONE, ALLISON FAITH (LMFT#94652)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:FAITH
Last Name:JOHNSTONE
Suffix:
Gender:F
Credentials:LMFT#94652
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5354 CLAYTON RD STE B1
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94521-3202
Mailing Address - Country:US
Mailing Address - Phone:925-890-2075
Mailing Address - Fax:
Practice Address - Street 1:5354 CLAYTON RD STE B1
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94521-3202
Practice Address - Country:US
Practice Address - Phone:925-890-2075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA94652106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist