Individual
LAKEYTA PENNY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 724-5637
Mailing address
411 W CHAPEL HILL ST FL 3, DURHAM, NC 27701-3272
(919) 724-5637
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A11837
NC
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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