Individual
DALLAS EUGENE JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHCS
Contact information
Practice address
14072 ELKIN HIGHWAY 268, RONDA, NC 28670-9199
(336) 827-0089
(844) 676-0500
Mailing address
221 THORNECLIFFE DR, STATE ROAD, NC 28676-9263
(363) 827-0089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
S11973
NC
101YP2500X
Professional Counselor
Primary
S11973
NC
Other
Enumeration date
11/04/2015
Last updated
10/11/2024
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