Individual
MS. GINA JESSAMYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.A.
Contact information
Practice address
1415 W NC HIGHWAY 54, SUITE 113, DURHAM, NC 27707-5577
(919) 666-3927
(919) 401-8091
Mailing address
1415 W NC HIGHWAY 54, SUITE 113, DURHAM, NC 27707-5577
(919) 666-3927
(919) 401-8091
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A9857
NC
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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