Doctor Name: | MRS. CHARRYSE JOHNSON |
NPI Number: | 1740658376 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPCA |
License Number: | A11709 |
Business Practice Address: | 2302 Equestrian Dr Matthews, NC - 281056775 |
Business Phone Number: | 7043661264 |
Business Fax Number: | 7044424162 |
Mailing Address: | 2302 Equestrian Dr, MATTHEWS |
State: | NC |
Postal Code: | 281056775 |
Phone Number: | 7043661264 |
Fax Number: | 7044424162 |
NPI Enumeration Date: | 09/14/2015 |
NPI Last Update Date: | 09/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | A11709 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |