person
Mr. Randy J. Johnson, LCMHC
Professional Counselor in Clemmons, North Carolina
NPI 1790745404

Randy J. Johnson is a Professional Counselor based in Winston Salem, NC and is specialized in Professional. Randy J. Johnson practices in Clemmons, NC and has the professional credentials of LCMHC. The NPI Number for Randy J. Johnson is 1790745404 and holds a License No. (North Carolina).

The current practice location address for Randy J. Johnson is 2235 Lewisville Clemmons Rd Ste A, Clemmons, NC and can be reached out via phone at 336-722-7266 and via fax at 336-201-0538.

Location: 2235 Lewisville Clemmons Rd Ste A, Clemmons, NC, 27101-5808
person
Provider Profile Details
NPI Number
1790745404
Provider Name
Randy J. Johnson
Credential
LCMHC
Provider Entity Type
Individual
Gender
Male
Address
2235 Lewisville Clemmons Rd Ste A, Clemmons, NC, 27101-5808
Phone Number
336-722-7266
Fax Number
336-201-0538
Provider Enumeration Date
03/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6102482 05 NC
1236V 01 NC BCBS OF NC
D9674 01 NC MEDCOST
6102747 05 NC
D0751 01 NC MEDCOST
institution
Provider Business Practice Location Address Details
Address
2235 Lewisville Clemmons Rd Ste A
City
State
Zip
27012-9342
Phone Number
336-722-7266
Fax Number
336-201-0538
person
Provider Business Mailing Address Details
Address
2235 Lewisville Clemmons Rd Ste A
City
State
Zip
27012-9342
Phone Number
336-722-7266
Fax Number
336-201-0538
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3008 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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