Individual
MS. PATRICIA VANESSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.-ED.S., NCC, LPC
Contact information
Practice address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 927-8871
(704) 376-2172
Mailing address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 927-8871
(704) 376-2172
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6672
NC
101YM0800X
Mental Health Counselor
6672
NC
101YP2500X
Professional Counselor
Primary
6672
NC
Other
Enumeration date
04/25/2008
Last updated
05/12/2008
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