Individual
TAKISHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9340 LUCY JANE LN APT 304, CHARLOTTE, NC 28270-2591
(980) 250-1174
Mailing address
9340 LUCY JANE LN APT 304, CHARLOTTE, NC 28270-2591
(980) 250-1174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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