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Organization

JOHNSTON COUNTY MENTAL HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANIS J NUTT PH. D. (AREA DIRECTOR)
(919) 989-5500
Entity
Organization

Contact information

Practice address
521 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4407
(919) 989-5500
(919) 989-5532
Mailing address
PO BOX 411, SMITHFIELD, NC 27577-0411
(919) 989-5500
(919) 989-5532

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
104100000X
Social Worker
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07116
BCBC-NC
NC
05
3404930
NC
05
5901802
NC
05
6005572
NC
05
8301360
NC
05
8301360B
NC
Enumeration date
03/28/2007
Last updated
02/21/2008
Update your record

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