Individual
ANGEL BLISS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
2815 CATES AVE, RALEIGH, NC 27695-0001
(919) 513-1862
Mailing address
2815 CATES AVE, RALEIGH, NC 27695-7312
(919) 513-1862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4192
NC
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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