| Johnston Counseling Services | |
|
113 N 3rd St Smithfield NC 27577-3939 | |
| (919) 938-0921 | |
| (919) 938-3807 |
| Full Name | Johnston Counseling Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 113 N 3rd St, Smithfield, North Carolina |
| Authorized Official Name and Position | Anthony Martin Woodall (OWNER) |
| Authorized Official Contact | 9199380921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnston Counseling Services Po Box 1835 Smithfield NC 27577-1835 Ph: () - | Johnston Counseling Services 113 N 3rd St Smithfield NC 27577-3939 Ph: (919) 938-0921 |
| NPI Number | 1184843757 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 05/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184843757 | NPI | - | NPPES |
| 2076854 | Other | NC | CIGNA |
| 577331 | Other | VALUE OPTIONS | |
| 1165Y | Other | NC | BCBSNC INDIVIDUAL |
| 6102389 | Medicaid | NC | |
| 0177C | Other | NC | BCBSNC GROUP |
| 186858 | Other | NC | MEDCOST |
| 543707000 | Other | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 632 (North Carolina) | Primary |
| 101YP2500X | Counselor - Professional | 3041 (North Carolina) | Secondary |
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