Individual
BETTY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
935 SHOTWELL RD, 104 A, CLAYTON, NC 27520-5597
(919) 359-0669
(919) 359-2171
Mailing address
935 SHOTWELL RD, 104 A, CLAYTON, NC 27520-5597
(919) 359-0669
(919) 359-2171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16453
NC
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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