Individual
RODNEY L JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
401 ROBESON ST, FAYETTEVILLE, NC 28301-5635
(910) 321-0069
Mailing address
3625 TEN TEN RD, FAYETTEVILLE, NC 28312-7238
(910) 729-3225
(910) 491-1000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23599
NC
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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