Individual
BETHLYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LPC, NBCC
Contact information
Practice address
610 W PEACE ST, RALEIGH, NC 27605-1520
(630) 726-4037
(919) 755-0545
Mailing address
610 W PEACE ST, RALEIGH, NC 27605-1520
(630) 726-4037
(919) 755-0545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9289
NC
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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