Deangila Jenall Johnson, CADC-R is a
Counselor - Addiction (substance Use Disorder) based in Lumberton, North Carolina. Deangila Jenall Johnson is licensed to practice in North Carolina (license number CADC-30672) and her current practice location is
8570 Nc Highway 211 E, Lumberton, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 751-3036.
NPI number for Deangila Jenall Johnson is 1851645972 and her current mailing address is 8570 North Carolina 211 E, Lumberton, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851645972.
Healthcare Provider's Profile
| Full Name | Deangila Jenall Johnson |
|---|
| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 8570 Nc Highway 211 E, Lumberton, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851645972
- Provider Enumeration Date: 10/29/2012
- Last Update Date: 05/02/2025
Medical Identifiers
Medical identifiers for Deangila Jenall Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851645972 | NPI | - | NPPES |
| 7200535 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CADC-30672 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deangila Jenall Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Deangila Jenall Johnson, CADC-R
8570 North Carolina 211 E,
Lumberton, NC 28358-1205
Ph: (910) 751-3036 | Deangila Jenall Johnson, CADC-R
8570 Nc Highway 211 E,
Lumberton, NC 28358-7763
Ph: (910) 751-3036 |
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