Individual
MS. SHANNON N JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1002 YANCEYVILLE ST, GREENSBORO, NC 27405-7842
(336) 274-1538
(336) 373-8037
Mailing address
PO BOX 14608, GREENSBORO, NC 27415-4608
(336) 274-1538
(336) 373-8037
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6479
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103561
—
NC
Enumeration date
03/15/2007
Last updated
06/19/2008
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