Individual
WILLIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 DALEWOOD DR, RALEIGH, NC 27610-1000
(919) 670-7895
Mailing address
815 DALEWOOD DR, RALEIGH, NC 27610-1000
(919) 670-7895
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P021892
NC
1041S0200X
School Social Worker
Primary
P021892
NC
Other
Enumeration date
02/02/2026
Last updated
03/06/2026
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