Individual
MRS. JANELLE A. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
102 TILGHMAN DR, DUNN, NC 28334-5533
(910) 892-5839
Mailing address
102 TILGHMAN DR, DUNN, NC 28334-5533
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
9052A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013282466
—
NC
Enumeration date
03/19/2012
Last updated
11/22/2016
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