Individual
TERESA MICHELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2850 VIRGILINA RD, ROXBORO, NC 27574-8226
(919) 225-3303
Mailing address
1751 CHUB LAKE RD, ROXBORO, NC 27574-8866
(919) 225-3303
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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