Organization
MILES 2 WISDOM LLC
Active
Organization
MILES 2 WISDOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARVA JOHNSON MA (LPC)
(910) 481-0560
Entity
Organization
Contact information
Practice address
1012 PAMALEE DR, FAYETTEVILLE, NC 28303-3833
(910) 481-0560
Mailing address
PO BOX 2472, FAYETTEVILLE, NC 28302-2472
(910) 481-0560
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4694
NE
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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