Individual
CHRISTINA MARIE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, MSW. LCSWA
Contact information
Practice address
162 SCHMIDT LN, LUMBER BRIDGE, NC 28357-9030
(919) 450-6305
Mailing address
215 PUNCH HILL FARM RD, ROUGEMONT, NC 27572-9260
(919) 450-6305
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P011791
NC
Other
Enumeration date
07/08/2017
Last updated
07/08/2017
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