Individual
MS. DONEICIA RACHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
6420 DAYBROOK CIR, APT 308, RALEIGH, NC 27606-2868
(719) 231-2545
Mailing address
6420 DAYBROOK CIR, APT 308, RALEIGH, NC 27606-2868
(719) 231-2545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P009683
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P009683
LICENSE CLINICAL SOCIAL WORKER ASSOCIATE NUMBER
NC
Enumeration date
07/13/2015
Last updated
07/13/2015
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