location
search-icon
person
Mr. Taij Mallory Johnson, LPCA
Professional Counselor in Raleigh, North Carolina
NPI 1295169902

Taij Mallory Johnson is a Professional Counselor based in Lumberton, NC and is specialized in Professional. Taij Mallory Johnson practices in Raleigh, NC and has the professional credentials of LPCA. The NPI Number for Taij Mallory Johnson is 1295169902 and holds a License No. A10111 (North Carolina).

The current practice location address for Taij Mallory Johnson is 1306 Paddock Dr, Raleigh, NC and can be reached out via phone at 919-790-7775.

Location: 1306 Paddock Dr, Raleigh, NC, 28358-5140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295169902
Provider Name
Taij Mallory Johnson
Credential
LPCA
Provider Entity Type
Individual
Gender
Male
Address
1306 Paddock Dr, Raleigh, NC, 28358-5140
Phone Number
919-790-7775
Fax Number
Provider Enumeration Date
08/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1306 Paddock Dr
City
Raleigh
State
North Carolina
Zip
27609-4873
Phone Number
919-790-7775
Fax Number
person
Provider Business Mailing Address Details
Address
1306 Paddock Dr
City
Raleigh
State
North Carolina
Zip
27609-4873
Phone Number
919-790-7775
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
A10111 (North Carolina)
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's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
A10111 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
A10111 (North Carolina)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.