Individual
JOHANNA E BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCMHC
Contact information
Practice address
5710 W GATE CITY BLVD # K248, GREENSBORO, NC 27407-7061
(484) 716-2813
Mailing address
5710 W GATE CITY BLVD # K248, GREENSBORO, NC 27407-7061
(484) 716-2813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15618
NC
101YP2500X
Professional Counselor
37PC00162200
NJ
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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