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Individual

MRS. JESSICA S JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
15905 BROOKWAY DR STE 4101, HUNTERSVILLE, NC 28078
(704) 960-2632
Mailing address
6337 FOSTER BROOK DR, CHARLOTTE, NC 28216-1514
(614) 288-7955

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1400139
OH

Other

Enumeration date
02/20/2018
Last updated
08/09/2019
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