Individual
MARVA E JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
996 HELEN ST, FAYETTEVILLE, NC 28303-3069
(910) 635-0115
(910) 824-7593
Mailing address
PO BOX 2472, FAYETTEVILLE, NC 28302-2472
(818) 231-1424
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15328
NC
Other
Enumeration date
11/04/2019
Last updated
11/15/2019
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