Individual
MR. DOUGLAS EARL JOHNSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
334 OLD THOMAS RD, WATHA, NC 28478-9538
(910) 285-0300
Mailing address
334 OLD THOMAS RD, WATHA, NC 28478-9538
(910) 285-6167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4916
NC
Other
Enumeration date
06/16/2010
Last updated
11/25/2013
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