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Individual

MRS. KIM ANNE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
201 N FRONT ST STE 215, WILMINGTON, NC 28401-5095
(910) 981-2144
(910) 240-9814
Mailing address
201 N FRONT ST STE 215, WILMINGTON, NC 28401-5095
(910) 981-2144
(910) 792-9883

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
106H00000X
Marriage & Family Therapist
Primary
1311
NC
106H00000X
Marriage & Family Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6105266
NC
Enumeration date
06/29/2006
Last updated
12/24/2024
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