Individual
AMY ELIZABETH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
128 QUADE DR, CARY, NC 27513-7400
(919) 651-8349
(919) 651-0113
Mailing address
128 QUADE DR, CARY, NC 27513-7400
(919) 651-8349
(919) 651-0113
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3516-A
NC
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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