Organization
DAVIDSON FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE JOHNSON LPC (CO-OWNER)
(336) 209-2884
Entity
Organization
Contact information
Practice address
709 NORTHEAST DR STE 22, DAVIDSON, NC 28036-7425
(336) 209-2884
Mailing address
709 NORTHEAST DR STE 22, DAVIDSON, NC 28036-7425
(336) 209-2884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578931333
RENEE JOHNSON, LPC
NC
Enumeration date
09/19/2019
Last updated
09/19/2019
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