Doctor Name: | MR. GREGORY TERENCE JOHNSON |
NPI Number: | 1124295191 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | C005960 |
Business Practice Address: | 608 Mccombs Ave Kannapolis, NC - 280833605 |
Business Phone Number: | 7047634924 |
Business Fax Number: | 7046314576 |
Mailing Address: | 608 Mccombs Ave, KANNAPOLIS |
State: | NC |
Postal Code: | 280833605 |
Phone Number: | 7047634924 |
Fax Number: | 7046314576 |
NPI Enumeration Date: | 05/09/2008 |
NPI Last Update Date: | 01/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C005960 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |