Individual
AVA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2009 CHAPEL HILL RD, DURHAM, NC 27707-1109
(919) 391-0446
Mailing address
1512 MILTON RD, DURHAM, NC 27712-1527
(919) 357-0744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15254
NC
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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