Individual
TRISHA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 DOCTORS DR STE M, JACKSONVILLE, NC 28546-6308
(760) 453-9657
Mailing address
405 SKYE CT, JACKSONVILLE, NC 28546-8900
(760) 453-9657
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
12196A
NC
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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