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MR. ROY ALAN JOHNSTON L.I.S.A.C NPI 1760681985


NPI Information

NPI: 1760681985
Provider Name: MR. ROY ALAN JOHNSTON, L.I.S.A.C
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4041 N. CENTRAL AVE
BUILDING C
PHOENIX, AZ
ZIP 85012
Phone: (602) 279-5262
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MR. Roy Alan Johnston, L.I.S.A.C is an addiction (substance use disorder) counselor in Phoenix, AZ. MR. Roy Alan Johnston, L.I.S.A.C NPI is 1760681985. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4041 N. CENTRAL AVE
BUILDING C
PHOENIX, AZ
ZIP 85012-133
Phone: (602) 279-5262
Fax: (602) 279-5390

The enumeration date for this NPI number is 7/17/2007 and was last updated on 9/5/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)LISAC11403ARIZONANo
2101YA0400XCounselorAddiction (Substance Use Disorder)LISAC-11403ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1910217MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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