Individual
COURTNEY JOHNSON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCAS
Contact information
Practice address
2033 BLUE SPRUCE DR, WINNABOW, NC 28479-0500
(919) 770-9155
Mailing address
2033 BLUE SPRUCE DR, WINNABOW, NC 28479-0500
(919) 770-9155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-20286
NC
1041C0700X
Clinical Social Worker
Primary
C008588
NC
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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