Organization
JOHNSTON COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY MARTIN WOODALL MA, LPC, LCAS (OWNER)
(919) 938-0921
Entity
Organization
Contact information
Practice address
111 N 2ND ST, SMITHFIELD, NC 27577-3933
(919) 938-0921
(919) 938-3807
Mailing address
PO BOX 1835, SMITHFIELD, NC 27577-1835
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
632
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177C
BCBSNC
—
01
—
186858
MEDCOST
—
01
—
2076854
CIGNA
—
01
—
543707000
MAGELLAN
—
01
—
577331
VALUE OPTIONS
—
05
—
6006200
—
NC
Enumeration date
09/16/2010
Last updated
09/16/2010
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