Individual
JOHNNIE BELINDA TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCA
Contact information
Practice address
2902 N HERRITAGE ST, KINSTON, NC 28501-1580
(252) 686-5020
Mailing address
2902 N HERRITAGE ST, KINSTON, NC 28501-1580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15178
NC
Other
Enumeration date
12/19/2019
Last updated
01/06/2020
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