| Teresa Johnson | |
|
737 Durham Rd Roxboro NC 27573-5607 | |
| (919) 930-3042 | |
| Not Available |
| Full Name | Teresa Johnson |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 737 Durham Rd, Roxboro, North Carolina |
| Authorized Official Name and Position | Teresa Johnson (CEO - COUNSELOR) |
| Authorized Official Contact | 9199303042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa Johnson 450 Country Club Rd Roxboro NC 27574-3325 Ph: (919) 225-3303 | Teresa Johnson 737 Durham Rd Roxboro NC 27573-5607 Ph: (919) 930-3042 |
| NPI Number | 1710748405 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 03/27/2024 |
| Certification Date | 03/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710748405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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