Davidson Family Therapy | |
709 Northeast Dr Ste 22 Davidson NC 28036-7425 | |
(336) 209-2884 | |
Not Available |
Full Name | Davidson Family Therapy |
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Speciality | Counselor - Mental Health |
Location | 709 Northeast Dr Ste 22, Davidson, North Carolina |
Authorized Official Name and Position | Renee Johnson (CO-OWNER) |
Authorized Official Contact | 3362092884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Davidson Family Therapy 709 Northeast Dr Ste 22 Davidson NC 28036-7425 Ph: (336) 209-2884 | Davidson Family Therapy 709 Northeast Dr Ste 22 Davidson NC 28036-7425 Ph: (336) 209-2884 |
NPI Number | 1710537899 |
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Provider Enumeration Date | 09/19/2019 |
Last Update Date | 09/19/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710537899 | NPI | - | NPPES |
1578931333 | Other | NC | RENEE JOHNSON, LPC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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