Provider Demographics
NPI:1689476020
Name:JOHNSTON, LORI (LICENSED ADDICTION)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:
Last Name:JOHNSTON
Suffix:
Gender:
Credentials:LICENSED ADDICTION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 S MONTANA ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2435
Mailing Address - Country:US
Mailing Address - Phone:406-498-2556
Mailing Address - Fax:
Practice Address - Street 1:731 S MONTANA ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2435
Practice Address - Country:US
Practice Address - Phone:406-299-2448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT963101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)