Individual
COURTNEY JANAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(980) 225-1585
Mailing address
640 MINGLEWOOD DR UNIT 10108, CHARLOTTE, NC 28262-0071
(704) 701-6485
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P016997
NC
Other
Enumeration date
01/01/2022
Last updated
01/01/2022
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