| Colin Maurice Johnson Jr, LPC LCAS CSI | |
|
1000 N 1st St, Albemarle, NC 28001-2833 | |
| (704) 983-2117 | |
| Not Available |
| Full Name | Colin Maurice Johnson Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1000 N 1st St, Albemarle, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528127404 | NPI | - | NPPES |
| 6103433 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3775 (North Carolina) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1464 (North Carolina) | Secondary |
| Entity Name | Monarch |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103 |
| Mailing Address | Practice Location Address |
|---|---|
| Colin Maurice Johnson Jr, LPC LCAS CSI 284 Executive Park Dr, Suite 100, Concord, NC 28025-1831 Ph: (704) 939-1100 | Colin Maurice Johnson Jr, LPC LCAS CSI 1000 N 1st St, Albemarle, NC 28001-2833 Ph: (704) 983-2117 |
Seth Davis Utley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 E North St, Albemarle, NC 28001 Phone: 704-802-2629 | |
Julie Lynn Callahan, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Ludlow Street, Albemarle, NC 28001 Phone: 704-550-5164 | |
Secily Linker Nichols, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2620 W Main St., Albemarle, NC 28001 Phone: 980-581-8144 Fax: 980-581-8148 | |
Seena Koohestani, Counselor Medicare: Not Enrolled in Medicare Practice Location: 328 S 1st St, Albemarle, NC 28001 Phone: 980-412-8660 | |
Ms. Laura Raeunn Marie Harbeson, PHD, LCMHCS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2620 W Main St, Albemarle, NC 28001 Phone: 980-581-8144 Fax: 980-581-8148 | |
Ryce Edward Hatchett Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 N 1st St, Albemarle, NC 28001 Phone: 704-983-2117 | |
Gina Douglas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1546 Highway 27 W Ste 107, Albemarle, NC 28001 Phone: 704-248-7329 Fax: 704-248-8340 |