Individual
BETTY ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
5800 EXECUTIVE CENTER DR STE 101, CHARLOTTE, NC 28212-8869
(704) 293-4013
(704) 227-0691
Mailing address
5800 EXECUTIVE CENTER DR STE 101, CHARLOTTE, NC 28212-8869
(704) 293-4013
(704) 227-0691
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21216
NC
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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