Individual
MRS. AMY LYNN-SMITH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
581 EXECUTIVE PL, SUITE 500, FAYETTEVILLE, NC 28305-5702
(910) 493-3555
(910) 493-3520
Mailing address
4948 GRAYS CREEK CHURCH RD, HOPE MILLS, NC 28348-7810
(910) 850-2095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C005604
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106625
—
NC
Enumeration date
10/05/2006
Last updated
05/14/2016
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