Organization
FRESH INSIGHTS COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEANETTA JOHNSON AGBONA CPC CRC CPC-I (ADMINISTRATOR)
(704) 254-7900
Entity
Organization
Contact information
Practice address
7704 ENGLAND ST, CHARLOTTE, NC 28273-5954
(704) 965-5015
Mailing address
7704 ENGLAND ST, CHARLOTTE, NC 28273-5954
(704) 965-5015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
08/07/2024
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