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Individual
TANGANEKA MONIQUE JOHNSTON
Active
Individual
TANGANEKA MONIQUE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P011242
NC
1041C0700X
Clinical Social Worker
Primary
P015779
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
562546907
—
NC
Enumeration date
03/01/2017
Last updated
08/26/2024
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