Individual
JASMINE PATRICE BRYANT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(704) 469-7456
(704) 946-6923
Mailing address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(704) 469-7456
(704) 946-6923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A15736
NC
Other
Enumeration date
05/06/2020
Last updated
01/10/2023
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