Individual
DEANGILA JENALL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
8570 NC HIGHWAY 211 E, LUMBERTON, NC 28358-7763
(910) 751-3036
(910) 739-4681
Mailing address
8570 NORTH CAROLINA 211 E, LUMBERTON, NC 28358-1205
(910) 751-3036
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-30672
NC
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200535
—
NC
Enumeration date
10/29/2012
Last updated
05/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us