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Organization

ASPEN MENTAL HEALTH THERAPY AND CONSULTING, PLLC

Active
Other names
Aspen Mental Health
Organization subpart
No

Provider details

NPI number
Authorized official
DALLAS JOHNSON JR. LCMHC (OWNER)
(336) 827-0089
Entity
Organization

Contact information

Practice address
14072 ELKIN HIGHWAY 268, RONDA, NC 28670-9199
(336) 827-0889
Mailing address
221 THORNECLIFFE DR, STATE ROAD, NC 28676-9263
(336) 827-0089
(844) 676-0500

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
11973
NC
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
05/10/2018
Last updated
06/04/2024
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