Individual
KEKE KOMEKO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
106 COFFMAN DR, PIKEVILLE, NC 27863-9665
(919) 581-7857
(919) 759-5012
Mailing address
106 COFFMAN DR, PIKEVILLE, NC 27863-9665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23518
NC
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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