Individual
DESHANNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-A, LCAS-A
Contact information
Practice address
725 HIGHLAND AVE, WINSTON SALEM, NC 27101-4180
(336) 397-7511
Mailing address
725 HIGHLAND AVE, WINSTON SALEM, NC 27101-4180
(336) 397-7511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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