Doctor Name: | MS. STEPHANIE CHERYL JOHNSON |
NPI Number: | 1063435618 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC |
License Number: | 3069 |
Business Practice Address: | 129 West Main Street Pilot Mountain, NC - 270419304 |
Business Phone Number: | 3367101321 |
Business Fax Number: | 3363681522 |
Mailing Address: | Po Box 473, PILOT MOUNTAIN |
State: | NC |
Postal Code: | 270410473 |
Phone Number: | 3367101321 |
Fax Number: | 3363681522 |
NPI Enumeration Date: | 07/25/2006 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |