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Individual
QUINCY JOHNSON
Active
Individual
QUINCY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10853
NC
101YM0800X
Mental Health Counselor
A10853
NC
Other
Enumeration date
02/21/2015
Last updated
06/13/2019
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