Individual
JEFFREY LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1014 LYNDHURST FALLS LN, KNIGHTDALE, NC 27545-9716
(910) 620-9482
Mailing address
1014 LYNDHURST FALLS LN, KNIGHTDALE, NC 27545-9716
(910) 620-9482
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
120
NC
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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