Individual
DARNELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS, LPCA
Contact information
Practice address
4909 WATERS EDGE DR, SUITE 107, RALEIGH, NC 27606-2462
(919) 805-6046
(919) 573-0847
Mailing address
4909 WATERS EDGE DR, SUITE 107, RALEIGH, NC 27606-2462
(919) 805-6046
(919) 573-0847
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2627
NC
101YP2500X
Professional Counselor
Primary
9050
NC
Other
Enumeration date
10/03/2013
Last updated
10/06/2015
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