Individual
JENNIFER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, MS, MFA, LPC
Contact information
Practice address
217 N 5TH AVE, SUITE 103, WILMINGTON, NC 28401-4268
(910) 208-0518
Mailing address
PO BOX 1963, WILMINGTON, NC 28402-9997
(910) 208-0518
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2891
GA
101YP2500X
Professional Counselor
Primary
6478
NC
Other
Enumeration date
12/26/2007
Last updated
02/17/2016
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